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South Hills Surgery Center AUTHORIZATION TO RELEASE PROTECTED HEALTH INFORMATION Please print___ Patient NameOther Last Names___ Date of birthPhone NumberEmail Address___ Street AddressCity, State,
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Gather all necessary information and documentation for the procedure.
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Follow the instructions provided by the surgery center for pre-operative preparation.
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UPMC South Surgery Center is a surgical facility that provides specialized outpatient surgical services, offering a range of elective and emergency procedures performed by qualified healthcare professionals.
Patients who receive surgical services at the UPMC South Surgery Center are required to file necessary documentation for insurance and billing purposes. Additionally, healthcare providers associated with the center must complete required regulatory filings.
To fill out forms for UPMC South Surgery Center, patients typically need to provide personal information, insurance details, medical history, and consent for treatment. It's recommended to contact the center directly for specific instructions and forms that need to be completed.
The purpose of UPMC South Surgery Center is to provide accessible, efficient, and high-quality surgical care to patients in a safe outpatient environment, allowing for quicker recovery and minimal hospital stay.
Information that must be reported includes patient identification details, medical and surgical history, insurance information, and any preoperative assessments necessary for the surgical procedure.
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