Patient Forms
Click on the images below to download 
patient information forms.

New patients are asked to fill out the forms below prior to the first appointment. Please bring them with you to help our staff provide you the best care and timely service.














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Desert Surgical Associates   

3131 La Canada Street Ste 217  •  Las Vegas, NV 89169
Phone: 702.369.7152      •      Fax: 702.369.7153
HomeAbout UsPhysiciansIn The NewsServicesRoboticsLocationPatient FormsTestimonialsContact Us

Desert Surgical Associates
Desert Surgical Associates features fellowship trained, specializing in General Surgery, Minimally Invasive Surgery, 
Endoscopic Surgery, Robotic Surgery, Foregut, Surgery, Abdominal Surgery, Gall Bladder Surgery, Hernia Surgery, 
Cancer Surgery, Breast Surgery and more.