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Patient Forms & Information » Lance R. Bryce, MD, PC » Canyon Surgical Clinic
Patient Forms & Information » Lance R. Bryce, MD, PC » Canyon Surgical Clinic

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Home » Patient Forms & Information

Canyon Surgical Clinic, Patient Forms & InformationPatient Forms

Download and print New Patient forms as well as Medical Record Release etc.
View Canyon Surgical Clinic Patient Forms.

Appointments

To make an appointment with Canyon Surgical Clinic please call (435)723-0329. Learn More

Medical Records Release and Confidentiality

To maintain strict confidentiality of our patients, we require written permission from the patient before any records can be released to another physician, insurance company or any other person.

Fill out our medical release form and fax or mail it to the appropriate location. Once this form is received, copies will be sent accordingly.

Please read and be familiar with our Privacy Policy Statements.

Insurance and Disability Forms

Please bring any forms that need to be filled out to our office. There is a $15 charge for "out of work/disability" forms to be completed, which will be collected when the forms are presented to our office.

In Case of Emergency

You may reach Canyon Surgical Clinic by calling (435)723-0329 during Office Hours. If you or your family feels the situation is life-threatening or demands immediate attention, dial 911 or go directly to the emergency room nearest you.

Office Visits

Each time you visit our offices, please be sure to bring:
  • Current insurance cards.
  • A list of all medications you currently take. Include medication name, dosage, and name of the prescribing physician.
  • Co-payment as required by insurance.
We want your experience at Canyon Surgical Clinic to be exceptional. Each member of our office staff is professionally trained to serve you. Please let us know how we can help you.

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© 2008 Canyon Surgical Clinic
984 South Medical Drive, Suite 2 - Brigham City, Utah 84302
info@canyonsurgical.com

 

The contents of the Canyon Surgical Clinic Site, such as text, graphics, images, and other material contained on the Canyon Surgical Clinic Site ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on any Website on the Internet!

 

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