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Tampa Bay Endoscopy CenterTampa Bay Endoscopy Center

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Patient Forms

At Tampa Bay Endoscopy Center, your time is as valuable to us as it is to you. Upon scheduling your surgery, a member of our staff will provide you with the required forms to fill out. We encourage you to take time to complete these before arriving on day of surgery, so that we may care for you promptly. If you happen to misplace any of the provided forms, duplicates are available for download and print below.

Agreements Signature Form

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Anesthesia Patient Consent/Financial Agreement

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Patient Information Form

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Pre-Anesthesia Form

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Patient Rights and Notification of Physician Ownership

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Patient Rights and Notification of Ownership: Spanish

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Tampa Bay Endoscopy Center
4809 North Armenia Avenue, Suite 100,
Tampa, FL 33603

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