Patient Forms

Online Forms

Patients will need to fill out a medical history form prior to surgery. You can now fill out the adult medical history form online to save time. The following link is a secure electronic form that my be filled out from any computer or mobile device.

Online Medical History Form


Download and Print Forms

If you prefer, you may print the following forms to fill out and mail, fax or hand deliver to Bend Surgery Center. If completing the paper forms, please fill out both the Pre-Operative Questionnaire and the Medical Reconciliation forms.


Other Forms