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The Massachusetts Avenue Surgery Center will make every effort to make your stay with us as comfortable as possible. To expedite your check in process, we have developed a series of commonly used forms which you may complete in advance and fax to the Center.  If you choose to fax these forms, they must be received by the Center no less than three days prior to your scheduled procedure.  Fax them to us at 301-263-0820. By completing these in advance of your registration you may save wait time at the Center. Please click on the form below to view/print the corresponding form in Adobe Acrobat pdf format.  Need get_adobe_reader

Form Number

Description

100

Patient Registration—For Surgery or Procedures

102

General Consent/Permission for Treatment

103

Assignment of Insurance Benefits

104

Pre-Anesthesia Form

105

Post Anesthesia Discharge Instructions

106

Consent for Communications

107

Comment Form

Pay Your Bill

Notice of
Nondiscrimination

Procedure Room FinalS

Hours of Operation:
Monday through Friday
6:30 am to 6:00 pm

6400 Goldsboro Road
Suite 400
Bethesda, Maryland  20817
 Phone:  301-263-0800
Fax:  301-263-0820
Email:  Info@massurg.com