Forms and Resources
We appreciate the trust you and your physician have placed in the staff at Wisconsin Surgery Center. We will make every attempt to ensure that trust, by providing the highest quality medical care you expect and deserve. We want your visit to be as pleasant as possible. Please feel free to ask questions at any time, and let us know of any special needs you may have.

To better expedite your registration process, please print off and complete the following packet of forms, and bring them with you on the day of your procedure.

Full Patient Registration Package Adobe PDF

If you need to print just one of the forms from the packet, please select the appropriate link below.

Patient Registration Form Adobe PDF

Credit Policy Adobe PDF

Patient Record Of Disclosures Adobe PDF

Patient History Adobe PDF

Medication List Adobe PDF

Advanced Directives

Declaration to Physicians (Living Will) Adobe PDF

Power of Attorney for Health Care Adobe PDF

If you have difficulty with any of these documents, please contact us and we will send you a packet by mail.

If you're interested in learning more about a specific procedure, take a look at our easy-to-understand educational animated procedures.

If you have any questions, please contact us as soon as possible.

TIP: You might also like to take a few minutes to learn more about your condition and available treatments at WebMD.

The Medicare Beneficiary Ombudsman Adobe PDF
This helpful information can help you find answers to questions you may have about Medicare benefits, and other organizations.

These files are in Adobe® Acrobat® format and require Adobe® Reader® to view them. You can obtain a free reader from Adobe's website by clicking the graphic below.

Get Adobe Reader

FREE Medication Log:
You may find our handy Personal Medication Log useful for cataloging your prescriptions and over-the-counter mediations.


Interested in a career with us? Download and complete our application for employment.