Utah County Surgical Associates
 
New Patient Forms

In order to ensure your first visit is as smooth and efficient as possible, please complete the following forms and bring them to your first appointment.

>> Instructions Below <<

Option 1:

Option 2:

Option 3:

Option 4:

Instructions:

  1. Some of the forms are large in size so make sure to allow the forms to download completely.
  2. These forms MUST be opened with Adobe Reader. Download it for free.
    1. Macintosh Users: If you are using the Safari web browser, clicking on the forms will open them in the Preview program. Instead you will need to right-click on the desired form link and choose Download Linked File As...
    2. After you have saved the form to your computer, open it using Acrobat Reader.
  3. After clicking the "Send Us the Form" button at the end of each form, please allow enough time for the information to be sent to us. You will receive a message that says the form has been sent.