Patient Forms

To make your visit as smooth as possible you will be sent a link either to your phone via text or email from Phreesia to complete your pre registration prior to your appointment. If you do not have access to a smartphone, tablet or computer please check in at least 30 minutes before your appointment time and we will have you complete it in our office.

Please remember: only children who are themselves the patient being seen should attend appointments.

Clinic Registration Information

You will be sent an electronic link via text message or email up to 3 days prior to your appointment for completion of our required electronic registration.

Please watch for this link and complete your electronic registration prior to arrival at the appointment.   Failure to complete the registration before arrival will result in your appointment being cancelled or rescheduled.  We no longer mail or email paperwork.

For your Inpatient Surgery at Providence St. Peter Hospital

Pre-Register Online

Authorization for Release of Healthcare Information

Please use the link below to print out an Authorization to Release or Disclose Protected Healthcare Information (PHI) if you are requesting your Surgical Associates medical records or medical information.  This form may not be used to request records from other medical facilities.  We are not able to receive it electronically so please mail or bring a completed copy to our office.

Authorization for Release of Healthcare Information