Edwardsville Ambulatory Surgery Center

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New Patient Information

Welcome to Edwardsville Ambulatory Surgery Center and thank you for choosing us to care for your healthcare needs.  This website is designed to answer many of the questions that you may have.  The more you know about our policies and methods of practice, the better we may be of service to you.  Should you have any questions, please don’t hesitate to contact us.  It is our goal to provide you and your family the best medical care possible and to maintain a pleasant and long-lasting relationship.

Our staff consists of carefully selected, trained office and nursing personnel.  We take great pride in our staff’s training and knowledge.

Patient Forms

  • Pre-Screen Assessment
  • Medication Reconciliation Record

Please complete the two forms (4 pages) and send them back to the Edwardsville Surgery Center:

Fax: 618-656-8204
Email: Michelle Looney, Director

PATIENT INFORMATION AND RESOURCES

  • Accepted Insurance
  • Billing Information
  • New Patient Information
  • Notice of Privacy Practices
  • Patient Frequently Asked Questions
  • Patient Policies
  • Patient Rights & Responsibilities
  • Patient Testimonials
  • Privacy Policy
  • Surprise Billing: Your Rights & Protections
  • Terms of Use
  • Notice of Non-Discrimination: Español • 繁體中文 • Tiếng Việt • 한국어 • Tagalog • العربية • Diné Bizaad • Polski …
  • Notice of Privacy Practices
  • Privacy Policy
  • Terms of Use
  • Notice of Non-Discrimination: Español • 繁體中文 • Tiếng Việt • 한국어 • Tagalog • العربية • Diné Bizaad • Polski …
  • Surprise Billing: Your Rights & Protections

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