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Forms & Instructions


Several documents (forms, instruction sheets) can be downloaded in PDF format and printed. (Click here to download Acrobat Reader)
Click on the appropriate document to open it:
Haga click aqui para ver o imprimir instrucciones post-operatorias en espanol

If you are coming to our offices for the first time, you will be asked to fill out the three blue forms below. If you wish, you can fill them out in advance, print them out and bring them to your appointment.


Information form - initial office visit - please fill out and print
  Health information - please fill out and print
Privacy statement - please fill out, print and sign
 Information about - INGUINAL HERNIA
  Postoperative instructions - MINOR SURGERY
  Postoperative instructions - INGUINAL HERNIA
  Postoperative instructions - APPENDICITIS
 Postoperative instructions - PYLORIC STENOSIS
 Information and instructions - CENTRAL LINES
  Information and instructions - INTUSSUSCEPTION
  Information and instructions - GASTROSTOMY

The Warren Alpert Medical School of Brown University

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University Surgical Associates