Outpatient Surgery Form

If you're planning to have outpatient surgery at Sharp Memorial Outpatient Pavilion, you will need to fill out a Patient Database Form and bring it with you on the day of your surgery.

If you do not have a form from your doctor, you can download the form here, type in your information, print it out on your home printer and sign and date it.

You must have Adobe Acrobat Reader to open these documents.

For More Information
If you have any questions about the form or outpatient surgery, please call the Outpatient Surgery Center at 858-939-3295.