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Patient Forms

Thank you for selecting Royal Oak Surgical Center for your procedure. If you have any questions, please call us at (248) 658-0878.

Once you have scheduled your procedure, you may pre-register by downloading the forms below. Please be sure to bring them with you on the day of your procedure.

Downloadable Forms:

Pain Management Patients:

  • Notice to Pain Management Patients

Orthopedic Surgical Patients:

  • Shoulder CPM Information
  • Notice to Surgical Patients

Podiatry Surgical Patients:

  • Notice to Surgical Patients

Pre-operative Checklist:

  • Pre-operative Checklist

Cancellation Policy:

  • Appointment Cancellation/No Show Policy

We schedule our appointments so that each patient receives an adequate amount of time with our physicians and staff. It is very important that you keep your scheduled appointment with us and arrive on time.

As a courtesy, and to help patients remember their scheduled appointments, Royal Oak Surgical Center calls to confirm appointments 24-48 hours in advance.

If your schedule changes and you cannot keep your appointment, please contact us so we may utilize the time slot for another patient. We ask that you please give us at least 24 hours’ notice.

If you do not cancel or reschedule your appointment with at least 24 hours’ notice, we may assess a $50 No-Show and Late Cancellation service charge to your account. This charge is not reimbursable by your insurance company. You will be billed directly for it. After two consecutive no-shows or late cancellations to your appointment, you will be asked to see your referring physician prior to rescheduling.

If a patient has a No-Show or Late Cancellation charge to their account, the balance must be paid PRIOR to scheduling their next appointment.

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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Royal Oak Surgical Center in Royal Oak, Michigan, focuses on outpatient procedures for orthopedic patients.