Patient Forms and Documents

To help better serve the needs of our patients, the following documents are available for you to view online:

• Patient Rights and Responsibilities 
• Texting Terms and Conditions
• Anesthesia Pre-Op Assessment (be prepared to fill this out upon admission)

If you are scheduled for a procedure at the Montgomery Surgical Center, please download the following forms and bring your completed forms with you the day of your procedure:

• Medication Reconciliation Form 

If would like to make your payment online, please click below for our patient payment portal:

• Patient Payment Portal

Standard Post Operative Instructions For:

• ALL Other Procedures 
• Endoscopy 

Click for Billing Notices:

• English
• Spanish