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PRINCESS ANNE AMBULATORY SURGERY CENTER 1975 GLENN MITCHELL DR. STE 300 VIRGINIA BEACH, VA 23456 7575070170 Financial Assistance Application Eligibility Determination Patient Name: MR#: Patient Address:
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How to fill out princess anne ambulatory surgery:

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Gather necessary personal information such as full name, date of birth, address, and contact details.
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Provide insurance information, including policy number and any relevant authorizations or pre-approvals.
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Fill out a medical history form, providing details about any previous surgeries, current medications, allergies, and any chronic medical conditions.
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Indicate the reason for the surgery and any specific concerns or questions you may have.
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Specify the preferred date and time for the surgery, if applicable.
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Review and sign any consent forms or waivers required for the procedure.
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Follow any additional instructions provided by the hospital or surgical center regarding preparing for the surgery, such as fasting or taking medication prior to the procedure.

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Individuals who require minor surgical procedures that can be safely performed on an outpatient basis.
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Patients who prefer a less invasive surgical approach and a shorter recovery period.
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Those who have received a recommendation from their healthcare provider that an ambulatory surgery is the most appropriate option for their specific medical condition.
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Princess Anne Ambulatory Surgery is a healthcare facility that provides outpatient surgical procedures.
Patients who undergo surgery at the Princess Anne Ambulatory Surgery center are required to have their information filed by the healthcare facility.
Patients should provide all relevant personal and medical information to the healthcare facility where the surgery is being performed.
The purpose of Princess Anne Ambulatory Surgery is to provide outpatient surgical services in a convenient and efficient manner.
Information such as patient demographics, medical history, procedure details, and post-operative instructions must be reported on Princess Anne Ambulatory Surgery forms.
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