Patient Forms

For our patients' convenience, Tallahassee Outpatient Surgery Center provides forms in advance for download, printing and completion.

Patient Registration Form

Download Patient Registration form (pdf)

• This may repeat questions from your physician's office; please answer them completely.
• This form must be received by TOSC no later than 24 hours prior to your surgery, however, the nurse will be discussing this with you either in person or on the phone during your pre-operative interview.

Pre-Op Instructions

Download Pre-Op Instructions (pdf)

• These instructions will be presented during your pre-operative appointment. It includes important details about calling in the day before surgery to determine the exact time of your appointment, plus details to better prepare you for surgery.
• Your signature is required on this form.

Health History Form

Fill out online

What you need to know about the Health History Form…

• A nurse will go over these questions and answers with you prior to the date of your surgery.
• A completed Health History must be received by the TOSC prior to or during your pre-operative interview.

Advance Directives

Ambulatory Surgery Center Patient Consent to Resuscitate Measures (pdf)

• Please review this in advance, as you will be signing this prior to surgery

Español versión Advance Directive
(Consentimiento Informado para Tratamiento y Revelación de Información)

Patient Bill of Rights

Download Patient Bill of Rights (pdf)

• Please review to better understand the Florida Patient's Bill of Rights and Responsibilities.

Notice of Privacy Practices

Download Notice of Privacy Practices (pdf)

• You will want to review this to better understand how health information about you may be used and disclosed.

Physician Ownership

Download Physician Ownership (pdf)

• This form discloses the Tallahassee Outpatient Surgery Center's affiliation with physicians.

Get to know our staff before your visit.