Patient Forms

Please find an updated list of patient forms below.

You may be asked to complete a form and send it to our office or bring it with you to your next appointment. Click a form name below to download:

Patient Assignment of Benefits
Patient Current Medication List
Patient Registration Form
Patients' Rights

Canyon Ridge Surgery Center does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person’s actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.

Patient Forms

Please find an updated list of patient forms below.

You may be asked to complete a form and send it to our office or bring it with you to your next appointment. Click a form name below to download:

Patient Assignment of Benefits

Patient Current Medication List

Patient Registration Form

Patients' Rights