Fairway Medical Surgical Hospital

Forms & Billing

To expedite your check-in process, you may print and fill out the forms below and bring them with you the morning of your procedure.

Documents & Forms

Explaination of Billing

Notice of Contracted Insurance Providers

Notice of Contracted Service Providers

Admission Form

Disclosure of Physician Interest

Patient Rights and Responsibilities

Patient's Medication Inventory

Pre-Anesthesia Questionnaire

Sleep Study Questionnaire

Insurance Listing