101 Physicians Way, Suite 114, Lebanon, TN 37090

For Patients

Online Patient Pre-Registration

Convenient and secure online patient registration:


  • Click “Patients Start Here”
  • Enter the following password: PASC615NEW
  • Complete the medical history form


*Returning users, log in with your access token.

* If you need your access token, call (877) 848-4726.

Click here to download the Phoenix ASC flyer.

About Your Surgery

Please choose from the following frequently asked questions below.

The following are typical patient questions about preparing for your surgery, the procedure in general, and follow up care.

Preparing for Surgery:

  •  Will there be any pre-surgery tests?

Any pre-operative tests will be determined by your physician or anesthesiologist and communicated to you prior to the date of your surgery.

  •  How will I be contacted about my procedure?

Yes. You may receive up to three calls. You will be contacted a few days prior to surgery by a member of your health care team. This call will include a routine health assessment, instructions for the day of surgery, and answers to any questions you may have.  You may also be contacted by someone in the facility’s business office to address financial matters such as your responsibility for co-payments and deductibles. Finally, you may also be contacted by your anesthesiologist.

  •  What do I need to bring with me?

1.  Please bring a photo identification and your insurance card(s). Our staff will need to verify and make copies when you check-in on the day of your surgery.
2.  Be sure to bring any medications that you may need during your stay at the facility (e.g., inhaler or insulin).
3.  Please bring a list of all drugs you are currently taking.
4.  Please bring payment of any patient responsibility (e.g. co-payment or deductible).
5.  Please do not bring rings, watches, or other valuables.

  •  Do I need to ask some one to drive me there and back?

Yes. You will not be allowed to drive after surgery. Please arrange for an adult to drive you home and for someone to be with you when you arrive.

  •  Is it ok to eat or drink the day of my surgery?

Your physician or a pre-operative nurse will inform you of eating and drinking restrictions prior to surgery. It is very important that you follow the provided instructions.  If you do not, your surgery may be delayed or cancelled.

  •  Do I need to take my medication the day of my surgery?

You will be given instructions regarding medications by your physician or a staff member. Also, as noted above, please be prepared to list all medications (including name and dose) you are taking and to bring any with you that may be needed during your stay (e.g., inhaler or insulin).

  •  What can I do to help ensure that I have the proper procedure on the correct site?

Take a shower the night before and the morning of surgery. Follow these simple steps:
1.  Wash your hair first with any shampoo.
2.  Wash all of your body using a liquid antibacterial soap and a clean washcloth for each shower.
3.  Rinse well to remove all soap.
4.  Dry your body with a clean towel.
5.  Do not use lotion, cream or powder.
6.  Do not shave or clip the area where the surgery will be done unless your physician directs you to do so.
7.  On the day of your procedure make sure you, your family and any other caregivers wash hands frequently while at the facility and at home following your surgery. Also, do not hesitate to ask members of your health care team at the facility if they have washed their hands!
8.  After your procedure make sure you, your family and any other caregivers wash their hands frequently.  Also, be sure you follow all instructions provided by your health care team regarding the care and cleaning of your surgical site as well as the administration of post-operative medications and bandages.

  •  Are there special procedures for children having surgery?

We realize that surgery can be frightening for you and your child. The pre-operative call with the facility nurse is a great time to arrange a tour of the facility to ease any fears you both may be experiencing. If your child would like to have a stuffed animal or security blanket for added comfort, feel free to bring these items on the day of surgery.  In the case of young children having surgery, it is best to have someone along with the driver to help care for the child on the trip home.  If you experience any health changes between your most recent visit with your physician and the date of surgery, notify your physician immediately.  Please report even minor changes, such as an elevated temperature, cough or cold.  If you cannot reach your physician, please call the facility.

  •  If I am pregnant, do I need to follow special procedures?

Please be sure to notify your physician, anesthesiologist and nurse prior to the date of surgery if you think you may be pregnant. The surgical procedure, anesthesia and medications may be harmful to a developing baby.

Pre-Registration Patient Forms

Privacy Notice

This Privacy Notice describes how we may use and disclose your protected health information to carry out treatment, payment, or health care operations and for other purposes that are permitted or required by law. It also describes your right to access and control your protected health information. Your “protected health information” means any written or oral information about you, including demographic data that can be used to identify you, created or received by your health care provider, which relates to your past, present, or future physical or mental health or condition.

Click here to download the privacy notice document.

Your Privacy 


Your Rights and Responsibilities

This document:

  • Provides you with your Rights and Responsibilities relating to your surgery
  • Describes how to file a grievance, if desired
  • Provides information concerning physician ownership of our center
  • Sets forth our center’s policy with respect to advance directives.

Click the link below to download the Patient Rights and Responsibilities Form:

Your Rights and Responsibilities 

Click the link below to read our Nondiscrimination Notice:
Nondiscrimination Notice

Nondiscrimination Notice