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As a convenience to our patients, we are providing the following forms for download. Please feel free to download the forms, print, and then fill them out at your convenience.  Forms should be completed and returned at least three days prior to surgery.

Forms can be faxed to 804-288-8946.

Mailing address:

Parham Surgery Center 

7640 E Parham Road 

Henrico, VA  23229

Note: The downloads below require Adobe Acrobat. If you are not sure if you have the FREE Acrobat plug-in, click the icon below to download it.

Medication List

Registration Form

History Screening Form

Patient Rights
Provided for your review:

Notice of Privacy Practices - English