Please note, once you are scheduled for surgery, it is important to complete your on line registration/pre-operative screening as soon as possible.
♦ Try to complete this right after your leave your surgeon’s office after scheduling the procedure.
♦ You will be provided a small business card from the surgeon’s office which depicts access information.
Please allow yourself 30-40 minutes of uninterrupted time to complete the registration. Have a listing of your current medications, allergies and past surgeries for ease in entry of the information. You must complete the form in entirely all at one time.
♦ Enter the password of: ASC500NEW
♦ Complete the medical history form and press SUBMIT when finished.
♦ After submitting, you will be offered to print out the form for yourself.
♦ If you have trouble accessing the form to complete, please call 877-848-4726 for Customer Service or contact our office at 715-345-0500.