Patient Links 
Below you will find a copy of our “Patient’s Rights & Responsibilities”. We want you
to be informed of these before your scheduled date of surgery/procedure. After you
have read them carefully, please sign and date the document and bring it with you on the
day of your procedure. Upon your arrival, the Front Desk Supervisor/Receptionist will ask
you for this document. If you would like a copy to keep for your records, please let any
of our staff know and we will provide one for you.
Patient Rights and Responsibilities
Our goal is to provide high quality medical care to our patients and their family members.
That is why we invite your response to this questionnaire. With your help, our staff can evaluate
how effectively we are meeting the challenge of providing you with quality care.
Your comments
and response will be thoroughly reviewed and kept strictly confidential unless you specify otherwise.
Thank you for your comments!
Patient Satisfaction Questionnaire
An independent, not-for-profit organization, The Joint Commission accredits and certifies more than
17,000 health care organizations and programs in the United States. Joint Commission accreditation and
certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment
to meeting certain performance standards.
The Joint Commission
The ASC Association is a membership and advocacy organization that:
