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Our Office

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P: 714.708.3737 F: 714.708.3773


3420 Bristol Street, Suite 750
Costa Mesa, CA 92626
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Patient Forms

To make your experience with South Coast Specialty Surgery Center more convenient and enjoyable, we provide the ability to download office forms and releases any time of day, directly from your computer.

Forms & Notices

Click on the appropriate form(s) below, print out the form(s) and give the completed form(s) to the receptionist at your first visit. Please be sure to fill out the correct form. If you do not know which form(s) to complete, please call us prior to your appointment.

Adobe File Avanced Directives Notice

Adobe File Discharge Instructions

Adobe File Patient Consent

Adobe File Patient Home Medications

Adobe File Patient Rights and Responsibilities

Adobe File Patient Satisfaction Survey

Adobe File Pre-Anesthesia Surgery Questionnaire

Our Brochure

This brochure addresses the most frequently asked questions about our center, providers, specialties, as well as pre and post operative instructions. If you have additional questions or concerns, please feel free to call us.

Adobe FileSCSSC Brochure

You will need to have the FREE Adobe Acrobat Reader installed on you system to view this document. Download the Reader by Clicking on the Acrobat icon below

Adbobe File2

Call us and Setup your appointment Now: 1-800-578-8521 or Fill out the form on the left.