Scheduling Surgical Procedures

We provide forms and information to help you schedule patients for surgical procedures. Click on the links below to open the forms. They can be printed for your use or given to patients.

How to Schedule a Surgery or Procedure (instructions for using the three forms below)

  1. Surgery Scheduling Form
  2. Surgery Scheduling Change Form
  3. Surgery Scheduling Cancellation Form
  4. Surgery Legal Representative

For related information, please view our Pre-Hospital Information page.

COVID-19 UPDATE: Elective surgeries cancelled. Classes/events cancelled. Restricted visitor policy. COVID-19 line (626) 397-3777. Learn how you can help.   >> READ MORE