720-777-9545
469 W State Hwy 7
Suite 2
Broomfield, CO 80023
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New Patient Guides and Forms

please review the following forms before arriving at Children’s North Surgery Center

Welcome to Childrens North Surgery Center
(Download PDF)

Pre-Admission Instructions & Instructions for AFTER your surgery
(Download PDF)

HIPAA Notice of Privacy
(Download PDF)

Notificación de Prácticas de Privacidad de HIPAA (HIPAA Notice of Privacy – Español)
(Descargar PDF)

 

Patient’s Rights and Responsibilities
(Download PDF)

Derechos y Responsabilidades del Paciente (Patient’s Rights and Responsibilities – Español)
(Descargar PDF)

Advance Directives (The Patient Self Determination Act)
(Download PDF)

FAQ’s – Frequently Asked Questions
(Download PDF)

Billing and Payment Policies
(Download PDF)

About Your Bill
(Download PDF)

ACA 1557 Notice of Nondiscrimination & Languages

(Download PDF)