- Patient Rights
- Patient Information Form
- Benefits Election Letter
- Patient Responsibilities
- Additional Licensing Requirements
- Acknowledgment of Receipt of notice privacy practices
- Medication Reconciliation Sheet
- Assignment of benefits: Erisa auth rep form
- Companion Driver’s Form
- Patient Waiver Policy & Agreement
- Pre-Anesthesia Record
- Advanced Directives
- Notice of Privacy Practices
- Patient Record of Disclosures
6940 S. Cimarron Rd. Ste. #100
Las Vegas, NV 89113
Phone: 702-982-3555
Fax: 702-948-8682
Las Vegas, NV 89113
Phone: 702-982-3555
Fax: 702-948-8682