Patient Checklist

Call your insurance provider prior to service so you are aware of what your benefits are.

Speak with a pre-op nurse at Surgical Center of the Rockies 1-2 days before your surgery to review all important items concerning your care.

Expect a call from one of our customer service representatives to discuss your financial responsibilities if anything is due on your day of service. Please note the financial call will come from a Texas number.


Please download and complete the following forms to bring with you on the day of your service.

  1. Right-click on the link to the document.
  2. Select “Save Target As” or “Save Link As.”
  3. Save the document to your hard drive.

Welcome Form

Testing Instructions for COVID-19

Medication Reconciliation Form


Documents to download and review:

Diet preparation for surgery.

About us and our commitment to patients.

What you should know about elective surgery.


Things to remember on your day of service…

Driver’s License or Photo ID
Insurance Cards
Method of payment
Remove all jewelry
A ride home (Must be 18 or older)
Wear loose clothing
Reading glasses (if needed)