Patient Forms

Patient Information

Every patient is special to us here at Matthews Surgery Center. Download the Matthews Surgery Center Patient Rights and Responsibilities document for your records.

This notice describes how health information about you may be used and disclosed and how you can get access to this information. Download the MR-107a Notice of Privacy Rights document for your records.

Advance Directives are documents that allow you to state your wishes about medical care in the event that you are unable to speak for yourself. Download the MSC Patient Notice About Advance Directives document for your records.

The patient has the right to voice complaints about their care and to have those complaints reviewed and, when possible, resolved. Download the Patient Complaints and Grievances document for your records.

It is important for you to follow the below guidelines before surgery in order to avoid delay or cancellation on the day of your procedure. Download the Guide To Surgery document for your records.

You can save some time during your visit by completing a medical release form prior to your visit. Download the Medical Records Release Form document for your convenience.