Patient Forms

The following documents are provided by Tallgrass Surgical Center as a resource for you both before and after your procedure.

Bariatric Patient Questionnaire
Bariatric Patient Questionnaire
Patient Rights
Patient’s Rights and Responsibilities
Release of Information
Release of Information Form*
Notice of Privacy Practices
Notice of Privacy Practices
NondiscriminationNotice
Nondiscrimination Notice
*Print and mail to:

Tallgrass Surgical Center, Attn:  Health Information Management, 6001 SW 6th Avenue, Suite 100, Topeka, KS  66615
Or fax to 785-228-4733.