Patient Forms

At Waverley Surgery Center, your time is as valuable to us as it is to you. Upon scheduling your surgery, a member of our staff will provide you with the required forms to fill out. We encourage you to take time to complete these before arriving on day of surgery, so that we may care for you promptly. If you happen to misplace any of the provided forms, duplicates are available for download and print below.

*These forms must be completed prior to admission. Download and complete to expedite facilitate admission.

*Consent for Admission and Financial Policies

*Medicare Short Form (for our Medicare patients only)

*Patient Rights and Notification of Physician Ownership

*Patient Information Brochure