PATIENT SATISFACTION QUESTIONNAIRE 

Our goal is to provide high quality medical care to our patients and their family members. That is why we invite your response to this questionnaire. With your help, our staff can evaluate how effectively we are meeting the challenge of providing you with quality care.

Your comments and response will be thoroughly reviewed and kept strictly confidential unless you specify otherwise. Thank you for your comments!

                 Patient Satisfaction Questionnaire

AMBULATORY SURGERY CENTER ASSOCIATION 

​​The ASC Association is a membership and advocacy organization that:

  • Provides member benefits and services
  • Combats legislative, regulatory and other challenges at the federal and state level
  • Assists state ASC associations
  • Enhances ASC representation at the state and federal level
  • Established a political action committee (PAC) Ambulatory Surgery Center Association

PATIENT RIGHTS AND RESPONSIBILITIES


Below you will find a copy of our “Patient’s Rights & Responsibilities”. We want you to be informed of these before your scheduled date of surgery/procedure. After you have read them carefully, please sign and date the document and bring it with you on the day of your procedure. Upon your arrival, the Front Desk Supervisor/Receptionist will ask you for this document. If you would like a copy to keep for your records, please let any of our staff know and we will provide one for you.

                     Patient Rights and Responsibilities

DOWNLOADABLE FILES

PATIENT RESOURCES

LINKS WORTH VISITING 

THE JOINT COMMISSION 

An independent, not-for-profit organization, The Joint Commission accredits and certifies more than 17,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards.

FILES FOR DOWNLOAD