Pre-visit Forms
We prefer electronic registration forms as they reduce data entry errors and waiting time in the office.
NEW PATIENT REGISTRATION FORM. We will contact you within 3 business days to schedule an appointment.
Follow up appointment request form
Insurance & Demographics Update Form
Spanish / Español
Formulario de Inscripción (Pre-visit form in Spanish) Favor de traer el formulario completado consigo para facilitar el proceso de inscripción. Gracias.
Chinese / 中文
Clinical
Surgical photo upload form (secure link via Updox)
Billing
Pre-operative Instructions
Preop and Diet instructions (English)
Summerlin Hospital Registration and Preoperative Instructions (English)
Summerlin Hospital Surgery Cost Information
Affinity Surgery Center Surgery Cost Information
Referral Forms for Referring Physicians
Nevada Universal Referral Form