Lake Ridge Ambulatory Surgery Center

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/ Patient Resources / Patient Forms

Patient Forms

Patient Rights and Responsibilities

Learn about your rights as a patient and your responsibilities while receiving care at our surgery center, including information about privacy, participation in your care, and respectful communication.

Click here to download: Patient Rights and Responsibilities


Patient Rights and Responsibilities – Spanish

Review your Patient Rights and Responsibilities in Spanish to help ensure you understand your rights and responsibilities while receiving care at our surgery center.

Click here to download: Patient Rights and Responsibilities (Spanish)


Understanding Your Billing

Learn about the different bills you may receive for your surgical care, including charges from the surgery center, surgeon, anesthesia provider, and other services that may be billed separately.

Click here to download: Understanding Your Billing


Pre-Operative Evaluation Questionnaire

This questionnaire provides our clinical team with important information about your medical history, medications, allergies, previous surgeries, and current health. Completing it accurately helps us prepare for your procedure and provide safe, individualized care.

Click here to download: Pre-Operative Evaluation Questionnaire


General Anesthesia Discharge Instructions

Review important instructions and precautions to follow after receiving general anesthesia, including activity restrictions, medications, diet, and safety considerations during your recovery at home.

Click here to download: General Anesthesia Discharge Instructions


Foods to Eat After a Tonsillectomy

Find helpful guidance on foods and beverages that may be easier to tolerate after a tonsillectomy, along with recommendations to help support hydration and recovery.

Click here to download: Foods to Eat After a Tonsillectomy


Frequently Asked Questions (FAQ)

Find answers to common questions about preparing for surgery, medications, anesthesia, your day of surgery, recovery, transportation, billing, and what to expect during your visit.

Click here to download: Frequently Asked Questions (FAQ)

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(703) 357-9568