(303) 301-7700
3455 Lutheran Pkwy, Suite 150
Wheat Ridge, CO 80033
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Patient Form Downloads

New Patient Guides and Forms

Please review and bring the following completed forms to your procedure at The Surgery Center at Lutheran. To pay your bill online, please click the green button above.

Welcome to The Surgery Center at Lutheran
(Download PDF)

ACA Non-Discrimination Poster & Translation Service Information
(Download PDF)

Before Your Visit
(Download PDF)

Instructions for The Day of Surgery
(Download PDF)

Instructions for AFTER your surgery
(Download PDF)

HIPAA Notice of Privacy
(Download PDF)

HIPAA Notice of Privacy – Español
(Download PDF)

Patient’s Rights and Responsibilities
(Download PDF)

Patient’s Rights and Responsibilities – Español
(Download PDF)

Advance Directives
(Download PDF)

Advance Directives – Spanish
(Download PDF)

Consent for Treatment
(Download PDF)

Before Your Visit
(Download PDF)

FAQ’s – Frequently Asked Questions
(Download PDF)

Information about Billing Procedures
(Download PDF)

About Your Bill
(Download PDF)

Surgery for Children
(Download PDF)

Where to find the Surgery Center at Lutheran
(Download PDF)