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Arkansas Valley Surgery CenterArkansas Valley Surgery Center

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Patient Forms

At Arkansas Valley Surgery Center, your time is as valuable to us as it is to you. Upon scheduling your surgery, a member of our staff will provide you with the required forms to fill out. We encourage you to take time to complete these before arriving on day of surgery, so that we may care for you promptly. If you happen to misplace any of the provided forms, duplicates are available for download and print below.

Patients Rights and Notification of Ownership

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Surgery Scheduling Form

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Arkansas Valley Surgery Center
933 Sell Ave.,
Canon City, CO 81212

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