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Patient Forms

We have many of the forms are available for download on the Surgery Center of Weston website. Please print the forms, fill them out legibly and bring them with you on the day of your procedure. This will help speed up the patient check in and intake process and make things easier on everyone!

SCW Acknowledgement of Bill of Rights Responsibility
SCW Assignment of Benefits
SCW Financial Policy

Patient Notification of Estimate

SCW Acknowledgement of Privacy Practices
SCW Bill of Rights Responsibility English
SCW Notice Disclosure of Ownership Interest
Pre-Admit Screening
SCW Advance Directives
SCW Conditions of Coverage
SCW Privacy Brochure
AHCA Health Related Data

Patient Information

We are pleased you have elected to have your surgical procedure performed at Cypress Creek Outpatient Surgical Center and are confident that you will have the very best surgical experience possible.

· Cypress Creek Outpatient Surgical Center Brochure – English

· Patient Rights and Responsibilities – English | Español

· Preparation for Surgery

· The Day of Surgery

· After You Leave the Center

· Patient Financial Resource

· Advance Directives – English | Español

· Disclosure of Ownership Interest – English | Español

· AHCA Health-Related Data

Patient Financial Resource

We are pleased to provide information to consumers related to the financial side of their health care needs. Here, our patients can find out about:

  • Contact information to call us directly for a pricing estimate
  • Financial arrangements including payment options
  • Our financial assistance policy
  • Contact information for contracted providers
  • Listing of accepted insurance plans

We hope that through information posted on our website, you can make more informed choices about your healthcare and have a better understanding of your financial obligations when you visit our facility.

Financial Assistance Policy
Financial Information & Arrangements
Insurance Plan
Contracted Provider List
Patient Notification of Estimate

See what precautions we are taking to reduce the spread of the coronavirus... Read more..

Why choose Surgery Center Of Weston?

  • A state-of-the-art multispecialty ambulatory medical facility
  • The most advanced technology and the latest minimally invasive techniques
  • High quality care in a friendly and stress-free setting
  • Talented and experience physicians
  • Highly trained and professional staff
  • Convenient location