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Tracy Surgery Center

Tracy Surgery Center

2160 West Grant Line Road, Suite 120 Tracy, CA 95377

Phone: (209) 836-5680

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Patient Forms

General Forms

  • File
    Right to Receive a Good Faith Estimate of Expected Charges
  • File
    Notice Regarding Patient Protections Against Surprise Billing
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    HIPAA Privacy Notice
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    Aviso Sobre Prácticas de Privacidad (HIPAA)
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    Disclosure of Physician Ownership
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    Patient Rights and Responsibilities
  • File
    Pre-Operative Treatment for Patients Questionnaire (DOCX)

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Tracy Surgery Center

2160 West Grant Line Road, Suite 120 Tracy,  CA 95377 Phone: (209) 836-5680
Surgery Partners
We Operate Differently.