St. John's Surgery Center
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St. John's Surgery Center
St. John's Surgery Center
When You Arrive

Upon arriving at St. John's Surgery Center, you will be welcomed by one of our friendly receptionists. You will be asked to sign into our register and fill out any remaining paperwork required for your medical record. Please refer to the following patient resources for further information.

Guest information sheet [ Download Form]
HIPAA Notice of Privacy Practices [Download Form]
HIPAA/Insurance [Download Form]
Medication List [Download Form]
Anesthesia Questionnaire [Download Form]
Transparency in Health Care[Click Here]
Non-Discrimination Policy[Click Here]

Advance Directive or Healthcare Proxy:
If you have an Advance Directive or Healthcare Proxy, please bring a copy with you for your medical record. (Please note, if you have an advance directive, it is the policy of St. John's Surgery Center not to honor advance directives.) If you have any questions regarding this, please ask to speak to a member of the administrative team. If you would like more information regarding advance directive please visit: www.uslivingwillregistry.com

Insurance:
St. John's Surgery Center participates at some level with virtually all insurance companies. During your first visit, you will be asked to sign an authorization form [Download Form] allowing us to file your insurance claim. You will be told by your physician's office if you need to pay any co-payment at the time of service. Insurance claims are prepared at our billing office and filed for your convenience. If you have an insurance or billing question, please call 239-466-9555.

Patient Right's and Responsibility:
As a patient, you have the right to be informed about the care you will receive, know the names of the caregivers who treat you, considerate, respectful and safe care, be listened to and be treated with courtesy and respect, voice grievances regarding treatment that is (or fails to be) furnished, and the confidential treatment of all communications and records pertaining to your care. It is your responsibility to fully participate in decisions involving your own healthcare and to accept consequences of these decisions if complications occur. You are expected to follow up on your doctor's instructions, take medications when prescribed and ask questions concerning your own healthcare that you feel are necessary. [Download Form]

Health Information Practices:
At. St. John's Surgery Center we are committed to treating and using protected health information about you responsibly. For your protection St. John's Surgery Center has many established policies, and you may obtain a full copy St. John's Privacy Notice if requested. If at any time you need to request information about care provided to you at the surgery center, a written release [Download Form] must be signed and dated.

Your eye will be dilated for most surgical procedures..
A member of our nursing staff will verify your information and a series of eye drops will be used to obtain the proper dilation. Dilation of the surgical eye will take between 30 and 60 minutes.

Your arrival time is not your surgery time.
You will receive a telephone call the day before your scheduled procedure to tell you when to arrive at St. John's Surgery Center. Please be aware you will be assessed by a nurse and receive appropriate eye drops shortly after your arrival, however it may be up to 1 hour before your surgery. This is the normal amount of time to allow for appropriate surgical dilation.

Your Intraocular lens (IOL) choice.
Whether you have chosen a Smartlens or a standard IOL, is a choice made between you and your physician for the best possible surgical outcome. Any questions regarding your lens choice, should be addressed to your surgeon's office, prior to the time of surgery. We will be happy to verify any information.

Correct Procedure/Correct Patient:
To ensure that the intended procedure is performed on the correct patient, and the correct site, you will be asked to verify your date of birth and which eye the procedure is to be performed on. The question of which eye will be asked several times, please understand this is for your own safety.

Your Comfort:
The staff at St. John's Surgery Center will try to make your stay as pleasant as possible for you and your significant other. For your comfort and the comfort of others, we ask that you bring only one family member with you, if possible. Also, please limit cell phone use to the outside of the building. Please plan to have your driver wait in the reception area. The anticipated length of stay is 2-3 hours, however unexpected delays may occur. We will do our best to keep you and your family notified in an unexpected delay does occur. While we understand that your time is valuable, it is St. John's Surgery Center's and your physician's responsibility to give each patient the time attention deserved to provide the best surgical outcome.



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