Office Policies

At ASC, we strive to make every aspect of your treatment experience run as smoothly as possible. We have several office policies in place in order to ensure the process is efficient.

We ask that you read and sign the attached policies prior to your first appointment. As described below, you will need to sign and bring the payment terms and agreements and credit card consent forms to your first appointment.

For those patients who elect to proceed with surgery, please review our policies on surgical scheduling. There is a seperate payment policy for cosmetic procedures. These forms do not need to be signed until you have decided to proceed with surgery.

Click on the below links to download PDFs of the policies.

Payment Terms and Agreements

Credit Card Consent

Surgery Scheduling Policy

Pessary Policy and Billing Information

Acknowledgement of Receipt of Notice

Notice of Privacy Practices