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Anderson & Shapiro Eye Surgeons

1200 John Q Hammons Dr. #100 Madison, WI 53717

Phone: (608) 827-7705

Hours: Monday-Friday, 8am-5pm

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Patient Forms

  • File
    Notice of Nondiscrimination Notice (PDF)
  • File
    Notice of Availability - Language Assistance (PDF)
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    Aviso de No Discriminación (PDF)
  • File
    Privacy Policy (PDF)
  • File
    Notice Regarding Patient Protections Against Surprise Billing (PDF)
  • File
    Surgery Discharge Instructions (DOCX)
  • File
    Medical Records Release Form (DOCX)
  • File
    Notice Regarding Patient Protections Against Surprise Billing (PDF)
  • File
    Patient Financial Responsibility Form (PDF)
  • File
    Patient Rights and Responsibilities (DOC)
  • File
    Pre-Surgery Instruction Booklet (DOCX)
  • File
    Right to Receive a Good Faith Estimate of Expected Charges Notice (PDF)

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1200 John Q Hammons Dr. #100 Madison,  WI 53717 Phone: (608) 827-7705
Surgery Partners
We Operate Differently.