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Surgery Contacts and Documents

Surgery Contacts and Documents

Hours:

  • Monday – Thursday: 7:30 a.m. - 5:30 p.m.
  • Friday: 7:30 a.m. - 2:00 p.m.

Contact Information:

When scheduling a surgery, please have the following information available when contacting the scheduling team:

  • Patient demographics including name, DOB and phone number
  • Preferred surgery date and time
  • Procedure, CPT code and diagnosis
  • Insurance information – Insurance carrier and policy information
  • Prior authorization (when possible) – If the prior authorization is not provided during this call, you will be asked to provide this soon after the surgery is scheduled.
  • Interpreter request – If yes, please indicate the language preference.
  • NOTE: If your surgeon prefers to enter his/her own orders in Epic, please notify your physician liaison: physicianoutreach@saintalphonsus.org. 

Block Request Form & Patient Education

  • Surgery Block Request Form (PDF)
  • Patient Guide to Surgery (ENGLISH) (SPANISH)
  • Pre Admission Testing (PAT) – Nampa / Ontario Questionnaire (PDF)

Surgical Orders & Booking Forms

  • Surgery – Booking Form (PDF) (FOR PRINT) – for surgeons who have block time
  • Surgical Orders (PDF)
  • Surgical Order – Retina (PDF)

Consent Forms

  • Surgical Consent Form (ENGLISH) (SPANISH)
  • Sterilization Consent Form & Tip Sheet for Idaho & Oregon (PDF)
  • To inquire about cosmetic cash or split pay case options, please contact your physician liaison at physicianoutreach@saintalphonsus.org
  • Contact Information:
    • Patient estimates: Fax to (208) 367-3646
    • Surgical orders: Fax to (208) 367-3460
    • Billing questions: Phone: 208-367-8787 – Hours: Monday through Thursday 9:00 a.m. to 5:00 p.m.