Pre-Surgery Forms


PLEASE NOTE: IF YOU RECEIVED A BLUE FLAGLER SURGERY CENTER INFORMATION SHEET FROM YOUR PHYSICIAN OFFICE, PLEASE CLICK HERE TO COMPLETE YOUR PRE-SURGERY FORMS.

If you did NOT receive a BLUE Flagler Surgery Center Information sheet from your doctor's office, we ask that you print and complete the forms below. As your medical facility, it is important for us to know your health information and medical history prior to your procedure. Filling out these forms is easy and essential for you to receive the best care possible. Please be forthcoming with your responses. All of your medical information is confidential.

Authorization to Release Health Information

Pre-Op Information Sheet

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