SURGICAL ASSOCIATES P.L.L.C.
3610 Ensign Rd NE, Olympia, WA 98506

Phone: 360.493.5252     Fax: 360.493.5257

Please bring with you to your appointment
All of the below items must be completed and brought with you when you check in for your appointment or your appointment may need to be rescheduled.

  • Patient Registration and Medical History (Please complete prior to appointment)
  • Insurance Card
  • Medical Coupon (if applicable)
  • Authorization (if required by your insurer)
    Your primary care provider must provide us with insurance authorizations prior to your appointment time.
  • X-ray Films
  • Payment
    Co-pays are to be made at the time of service. For those without insurance, payment is expected at the
    time of service.

Important Notice
Please do not wear perfume, cologne, aftershave or other fragrant sprays, gels or lotions. Some staff and patients are sensitive or allergic to fragrances.

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