Patient Registration

Before you come to Foundation Surgical Center of Dickinson, your surgeon will review with you the details of having your surgery performed at the Center and you will be given detailed instructions. The following forms may be completed prior to your scheduled procedure.

• Consent for Admission and Treatment (pdf)
• Emergency Contact (pdf)
• Patient Information (pdf)
• Patient's Bill of Rights and Responsibilities (pdf)
• Consent and Disclosure (pdf)
• Spanish Consent for Admission and Treatment (pdf)
• Spanish Patient's Bill of Rights and Responsibilities (pdf)

You will need Adobe Acrobat Reader to view and print these forms.

In the event of any difficulties or complications, call your surgeon immediately.