Jupiter OSC Forms
Patient Forms
- Patient Information Packet
- Health Care Advance Directives
- Notice of Privacy Practices (HIPAA)
- Operation/Procedure Consent
- Pain Management and Anesthesia Consent
- Acknowledgement of Charges
- Patient Disclosure
- Good Faith Estimate
Other Patient Information
- State of Florida Transparency in Health Care Legislation
- Nondiscrimination Statement and Language Assistance
- Jupiter Outpatient Surgery Center's Accepted Insurance Plans
- Patient's Bill of Rights and Responsibilities
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