For Patients

For Patients

We want you to have the best experience with us at SMASC. In order to avoid any delays, we ask that you please bring the following items with you to your scheduled procedure:

1. ID
2. Insurance card/information
3. Personal health history and medication list
4. A list of any questions or concerns
5. Someone to help if needed, for take notes/ help with questions or discharge instructions


For your convenience, you can print these forms and fill them out online prior to your appointment.

Adobe Icon  Advanced Directive Patient Rights
Adobe Icon  Patient Financial Agreement
Adobe Icon  Opiod Contract
Adobe Icon  Clinical Admission and Consent
Adobe Icon  Patient Attestation
Adobe Icon  Patient Attestation Final JN Spanish




Adobe Icon  Patient Rights and Responsibilities
Adobe Icon  AAAHCOwnership
Adobe Icon  Complaints

  If you have questions   
  please call us at (281) 383-9693