(734) 719-8900 | 710 Avis Dr. Suite 100, Ann Arbor, MI 48108

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  • Home
  • About Us
    • Meet the Partners
  • What to Expect
    • What to Expect on your Visit
    • Billing and Insurance
    • Forms
    • Covid-19
  • Contact Us
  • Home
  • About Us
    • Meet the Partners
  • What to Expect
    • What to Expect on your Visit
    • Billing and Insurance
    • Forms
    • Covid-19
  • Contact Us
  • Home
  • About Us
    • Meet the Partners
  • What to Expect
    • What to Expect on your Visit
    • Billing and Insurance
    • Forms
    • Covid-19
  • Contact Us

VISIT OUR PATIENT PORTAL

Forms for your visit

Please remember to print and complete the below forms prior to your visit.

  • 1 Patient Welcome Brochure – AASC
  • 2 Patient Registration Form – AASC
  • 3 Patient Financial Responsibility – AASC
  • 4 Patient Receipt of Information Form – AASC
  • 5 Notice of Privacy Practices & Nondiscrimination Forms – AASC
  • 6 Notice of Privacy Practices Booklet – AASC
  • 7 Language Assistance Services – AASC
  • 8 No Surprise Medical Billing Flyer – AASC
  • 9 Complaint Information – AASC
The Ann Arbor Surgical Center Mission

Provide a comprehensive quality of care approach for all individuals (regardless of race, color, religion or creed) for non-emergency healthcare services administered to patients who remain in the facility for less than 24 hours.

 

Contact Details

710 Avis Dr. Suite 100, Ann Arbor, MI 48108

(734) 719-8900

Info@AnnArborSurgicalCenter.com

© Ann Arbor Surgical Center