CE CARE Madison Surgery Center - UW Health

ExcEptional carE

You Can ExpECt thE BEst WhEn You ExpEriEnCE thE Madison surgErY CEntEr

Madison Surgery Center combines the latest procedural

and surgical technology and treatment with comfortable

surroundings. Madison Surgery Center provides procedural

and surgical care with an emphasis on convenience, safety

and concern for our patients’ comfort.

Our friendly, professional staff is experienced and

attentive to the needs of our patients. We do all we can to

provide an atmosphere that resembles a home rather than

a hospital. Our warm environment and personal service

help put patients at ease, as does our excellent record of

safety and successful outcomes.

QualitY CarE froM ExpErts

Madison Surgery Center is a joint venture between

University of Wisconsin Medical Foundation (managing

partner), University of Wisconsin Hospital and Clinics,

and Meriter Hospital. We are certified by the Centers for

Medicare and Medicaid Services.

We are also accredited by Accreditation Association for

Ambulatory Health Care, Incorporated (AAAHC). These

credentials are a testament to our quality of care, which

is measured through patient safety, quality key indicators,

clinical record keeping, environmental safety and

operational structure.

We manage fully furnished operating room suites and

procedural rooms, with state of the art monitoring

equipment, surgical technology and comfort-lending

anesthesia. Our environment, which protects patient

privacy and offers a cheerful décor, is the backdrop

for our highly qualified team of skilled health care

professionals.

Our physicians and anesthesiologists are all board

certified or eligible for certification and most are faculty

for the UW School of Medicine and Public Health. Our

anesthesiologists often direct senior anesthesia residents

or clinical anesthetists as part of our anesthesia model.

Our staff is comprised of registered nurses, surgical

technologists and ancillary support staff who direct

patient care throughout the procedure/surgery.

Many of our nursing staff have additional certification in

surgical, anesthesia care and advanced cardiac life support

(both pediatric and adult). In addition, our staff provides

assistance and instruction to both the patient and family

for home care following the procedure/surgery.

QuiEt, CoMfortaBlE, Caring EnvironMEnt

You, the patient, are an essential part of your health

care team. Because of this, we welcome your thoughts

and comments. Please contact us if you have questions

or concerns about our Surgery Center. Thank you for

entrusting your care with us.

Outpatient procedures and surgery are our only focus,

allowing our physicians little distractions and more time

to spend with their patients.

Madison Surgery Center

ExcEptional carE

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tablE of contEnts

ExCEptional CarE . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

ChargEs and MEthod of paYMEnt . . . . . . . . . . . . . . . . . . . . 2

patiEnt rights and rEsponsiBilitiEs . . . . . . . . . . . . . . . . . . . 2

Your proCEdurE/surgErY: What to ExpECt . . . . . . . . . . . . . . . . 4

anEsthEsia options . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Map and dirECtions . . . . . . . . . . . . . . . . . . . . . . . . . 10

surgErY ChECklist . . . . . . . . . . . . . . . . . . . . . . . . . . 12

datEs to rEMEMBEr . . . . . . . . . . . . . . . . . . . . . . . . . 13

“ Excellent crew! they made me feel

special as though that is why they

came to work that day.”

2 3

10. Be informed of business relationships between MSC

and other health care providers, insofar as your care

is concerned.

11. Be informed of policies and/or regulations by which

you are expected to abide.

You havE thE rEsponsiBilitY to:

1. Be considerate of others by observing safety

regulations of MSC.

2. Treat the health care personnel of MSC and other

patients with respect, and to display proper behavior.

3. Supply accurate and complete health history and

insurance information.

4. Inform MSC personnel if your instructions,

information or answers to your questions are not

understandable or cannot be followed.

5. Follow instructions provided to you throughout

your experience and report any changes in your

health to your physician.

6. Provide a responsible adult to transport you home

from the facility and remain with you for 24 hours,

if required by the physician.

7. Fulfill any financial obligations you may incur.

8. Make follow-up appointments with your physician

as directed.

If a patient has been adjudicated incompetent, the rights

of the patient identified above may be exercised by his

or her legally authorized representative.

griEvanCE proCEdurEs

If you have any concerns about the service or care

that you receive as a patient of Madison Surgery Center,

Inc., you have the right to file a complaint. Madison

Surgery Center values your feedback. If you have a

concern, please contact a Manager or the Director

at (608) 287-2200 or (800) 921-3444 or e-mail

[email protected]. You may also

contact the UW Medical Foundation Department of

Patient Resources at (608) 821-4819.

If you feel that your issue was not resolved you may

contact the State of Wisconsin, Department of Health

Services at (800) 642-6552. Medicare beneficiaries

may contact the office of the Medicare Ombudsman by

visiting their website at medicare.gov/navigation/help-

and-support/ombudsman.aspx.

advanCE dirECtivEs

It is our policy that if an adverse event occurs during

your treatment, the medical team will initiate resusciative

or other stabilizing measures and transfer you to an

acute care hospital for futher evaluation. A copy of your

advance directive or health care power of attorney will

be sent with your medical records.

patiEnt rights and rEsponsibilitiEschargEs and mEthods of paymEnt

Madison Surgery Center maintains a rigorous program

of cost containment to assure high quality health care

at a competitive rate. Our facility fee is billed separately

from the fees of our physicians (surgeons, proceduralists,

anesthesiologists) as well as laboratory and pathology

fees. Our charges include the costs associated with the

procedure/operating rooms, recovery room, nursing

staff, medical-surgical supplies and pharmaceuticals.

Our Surgery Center is an approved facility for many

health plans. Patients not fully covered by their insurance

plans should make financial arrangements prior to the

day of the procedure.

Please contact your insurance company to ask if

pre-authorization is required before having an

outpatient procedure/surgery performed at

Madison Surgery Center. If you have questions

or need assistance, please call:

Priceline (608) 829-5637

Patient Business Services (608) 833-6090

As a patient of Madison Surgery Center, Inc. (MSC),

you have certain basic rights regarding your health care.

You also have some basic responsibilities.

You havE thE right to:

1. Considerate, respectful, quality service and care

regardless of race, color, creed, sex, cultural beliefs,

background or lifestyle. You have the right to ask

for special help if you have a disability or need an

interpreter.

2. Privacy when receiving care. Those people not directly

part of your care must have your consent to be there.

3. Confidentiality for your medical and financial records.

Records will be utilized for treatment, payment and

operations of MSC (such as Quality Improvement).

Your health information is protected by law and will

not be released without your authorization. You may

request an accounting of disclosures, if it does not

pertain to treatment, operations or payment.

4. Select your own surgeon.

5. Participate in decisions regarding your health care

and to full information regarding your condition,

prognosis, and treatment.

6. Consult with other health professionals when you feel

such consultation is necessary.

7. Consent to or refuse treatment or involvement in

medical studies or research projects conducted by

MSC (if you are legally competent). You have the

right to know how that decision may affect your

health care.

8. Inform MSC personnel of any Advance Directives,

which you may have.

9. Be given information on billing procedures and

policies.

“ the clinical team was amazing.

i felt respected and cared for during

my stay. ”

4 5

physician’s contact information noted. UW Health

Pharmacy is conveniently located on the 1st floor of

1 S. Park and can fill your prescription while you are

recovering from your procedure/surgery (if applicable).

Madison Surgery Center is not open 24 hours a day.

If you experience any difficulties or problems after

discharge, please refer to your discharge instructions as to

how best to contact your physician. If you experience an

emergency, call 911 or go to the emergency room.

Even though you are awake more quickly after an

ambulatory procedure/surgery, you may feel drowsy for

the next 24–48 hours. Your coordination may also be

affected. For your safety:

• Do not drive a car or operate hazardous machinery.

• Do not drink alcohol.

• Do not take any medication unless prescribed by

your physician.

Important decisions should be delayed until you

have made a complete recovery. You should plan to go

home immediately from the recovery area and rest for

the remainder of the day with a responsible adult to

assist you.

We will provide you with a patient satisfaction survey that

you may complete at the Center or take home and mail to

us. We use the survey results to improve our services for

patients and appreciate your comments.

The next business day, you may receive a call from one

of our nurses to check on your progress and answer any

questions you may have. If you have not spoken with a

nurse by the end of the next business day, please call us

at (608) 287-2200 or (800) 921-3444. Please notify us if

the telephone number we should use to contact you for

follow-up after your procedure/surgery is different from

the contact information verified at the time of admission.

WhEn to Call Your doCtor’s offiCE

Call the doctor immediately if you experience:

• Excessive bleeding

• Pain that is not relieved by medication

• Fever over 100° F (by mouth) for two readings taken

four hours apart

• Incision or drain sites become more painful, swollen,

red and/or feel warmer than usual

• Any drainage or bleeding from your incision

• Problems with nausea and vomiting

• Problems urinating or emptying your bladder

prE-adMission

Our staff will contact you the day before surgery with

your surgery time.

If you become sick or develop an illness within (7) seven

days of your scheduled procedure/surgery, please contact

your physician to discuss your condition.

a notE aBout hErBal usagE

• Tell your physician and all health care providers what

herbal supplements you are taking.

• Stop taking herbal medications 1 week before your

scheduled procedure/surgery or at least at the time of

the telephone interview.

ChildrEn

In order to devote attention to the patient, we request

that you do not bring children with you the day of your

procedure/surgery. The setting of the Surgery Center and

the time spent waiting can be stressful for children. We

encourage you to make child care arrangements rather

than bring the children with you.

intErprEtEr sErviCEs

Madison Surgery Center is willing and can provide a

professional medical interpreter at no cost to you. It is

important for your health care to receive the services of

a qualified professional interpreter.

rEsponsiBlE adult

Please arrange for someone to drive you to and from the

Surgery Center. You cannot drive for the rest of the day

after your procedure/surgery. Do not plan any activities

for the rest of the day following the procedure/surgery

so you may rest. To protect your privacy, the person

accompanying you to your procedure/surgery should

be someone with whom the physician can discuss your

health and results of the procedure/surgery. You will

need to arrange for a responsible adult to assist with

the following:

• Drive you to and from the Surgery Center

(Do not use a cab or bus)

• Be present throughout your stay at the Surgery Center

• Provide care for you for 24 hours or more after the

procedure/surgery

For these reasons, please have your driver come with

you the Surgery Center and stay until you are discharged.

Due to limited waiting room space, it is suggested to have

only one person accompany you. We discourage leaving

pets in the vehicle during your stay at the Surgery Center.

Your proCEdurE/surgErY

Please come directly to the Surgery Center Reception

Desk on the 3rd floor to check in for your procedure/

surgery. You do not need to stop to register before

entering the Surgery Center.

A nurse will prepare you before your procedure/surgery

and explain what to expect during your stay. Your

physician, one of their assistants and an anesthesiologist

(if applicable) will visit you in the pre-op area before you

are taken to the procedure or operating room.

After your procedure/surgery, the physician may speak

with your family/friend, informing them of the outcome

of the procedure/surgery. You will be taken to our

recovery area where you will be reunited with your

family/ friend. They will be involved in your post-op

education, facilitating safe and efficient discharge from

our facility.

going hoME

You will be evaluated prior to discharge to determine

that you are ready to leave the Surgery Center. You will

be discharged once you and your family/friend have

been given written home care instructions with your

your procEdurE/surgEry: what to ExpEct

“ Everyone expressed genuine

concern and care for my child which

helped ease my nerves as a parent.”

6 7

Your proCEdurE

In the preoperative area you will have the opportunity

to meet with the specific anesthesiologist who will take

care of you. He or she will talk about various aspects of

the anesthetic management and answer your questions.

Nurses will record your vital signs (temperature, blood

pressure, heart rate, etc), and go over your pre-admission

interview. You will have an intravenous catheter (IV)

placed in a vein of the hand or arm after numbing

the skin with local anesthetic. This IV will be used to

administer various medications.

In the operating room a member of the anesthesia team

will ALWAYS be there, maintaining contact with you, and

attending to your needs.

aftEr thE opEration

After the surgery is finished, you will be taken to a

recovery area where most of the anesthetic effects will

wear off. In the recovery area, specially trained nurses

will continue to monitor you and attend to your needs.

Be assured that pain medications will be available to

help ease discomfort. You should realize, however, that

surgery and anesthesia will not leave you feeling normal.

Depending on the surgery and its length, you may feel

like just resting in bed.

You will be going home the same day after a few hours—

assuming pain, dizziness, nausea or issues related to the

surgery are controlled. Side effects like pain, nausea and

dizziness usually decline rapidly in the hours following

surgery, but it may take several days before they are gone

completely. The majority of patients do not feel up to

their typical activities the next day, usually due to general

tiredness or surgical discomfort. Plan to take it easy for

a few days until you feel back to normal. Know that a

period of recovery at home is common and to

be expected.

If the procedure is not quick and simple AND you live

more than 2 hours away, we recommend that you make

arrangements to stay in the Madison area overnight.

This will be much more comfortable for you than a

long automobile ride. You should not drive for about

24 hours after anesthesia (or while taking narcotic pain

relief medicine) to ensure full recovery of your senses

and judgment. You should also not drink any alcoholic

beverages, or use non-prescription medications for 24

hours after your anesthesia.

tYpEs of anEsthEsia

There are several ways in which pain and discomfort can

be prevented or greatly reduced during your proposed

surgery or procedure. Which type is best for you? This

decision will be made jointly by you, your anesthesiologist

and your surgeon. You should consider the advantages

and disadvantages for each type as they apply to you, as

well as our recommendations, before making a choice.

Monitored Anesthesia

This means that a local anesthetic is injected directly

into the area where the operation is to take place. This

produces a localized area of numbness. The anesthesia

team provides an appropriate and safe level of sedation

and supplemental pain relief with medications injected

through your IV. They also monitor (among other things)

your breathing and blood pressure, and treat any changes

in your body’s functions. They are also there to administer

general anesthesia if needed.

Monitored Anesthesia Pros

• Often the quickest recovery

• Often the simplest anesthetic

• May be safer than other anesthesia types for

certain procedures and patients

Monitored Anesthesia Cons

• May not be suitable for long procedures or

some surgeries

In order for you to be as safe and comfortable as possible

during your procedure, your surgeon has requested

that an anesthesiologist be involved in your care. An

anesthesiologist is a doctor who has specialized training

and knowledge in providing anesthesia and pain relief,

as well as maintaining vital life functions including blood

pressure and breathing. This anesthesia doctor often

directs Certified Registered Nurse Anesthetists, Anesthesia

Assistants, or physicians training in anesthesia. This

“anesthesia care team,” as well as our nursing staff, will

provide you with the safest and most efficient

care possible.

What is anEsthEsia?

Anesthesia is a condition of having little or no sensation;

the word may also refer to any of the medications or

methods used to produce this condition. Also, anesthesia

may be associated with “amnesia” – meaning no memory

of the events surrounding surgery, and unconsciousness.

You will meet your anesthesiologist prior to your

procedure to discuss the anesthetic method that will be

used for your procedure. If you have particular concerns,

you should discuss them with the anesthesiologist or

nursing staff at this time.

BEforE Your surgErY

It is very important that you follow the directions

regarding when you should stop eating solid foods and

when you should stop drinking clear liquids. Clear

liquids mean water and apple juice. DO NOT EAT on the

day of your surgery, unless you have been told otherwise

by MSC staff or your surgeon.

If you do not follow the eating and drinking instructions

faithfully, your stomach may not be empty. Losing

respiratory protective reflexes during anesthesia could

increase your risk of getting stomach contents into your

lungs – a potentially dangerous situation.

If you do not follow the eating/drinking directions

you were given, it could mean your procedure will be

cancelled or postponed for your own protection.

You should take medicine that you are told to take (with

a small amount of water) on the morning of surgery.

These usually are medicines for any heart, blood pressure,

breathing, or stomach conditions. Please be sure you ask

if you have any question about taking your medications

on the morning of surgery.

anEsthEsia for ambulatory surgEry

8 9

Examples of risks of general or regional anesthesia

(nerve block) include:

Equipment complications, bruises and abrasions,

infection, eye problems, tooth damage, lip cuts, sore

throat, hoarseness, nausea and/or vomiting, inhaling

stomach contents, headache, backache, inability to

urinate, reactions to local anesthetics, problems with

blood loss, high or low blood pressure, rapid or slow

heartbeat, angina (heart pain), heart attack, heart failure,

cough, wheezing, lack of oxygen, dizziness, weakness,

stroke, brain damage, nerve or spinal cord damage

(including paralysis), experiencing pain, being aware

under anesthesia, coma, or even death. Allergic reactions

(minor or serious) to medications or other substances can

occur. Birth defects or miscarriages in pregnant patients

can occur.

Remembering others talking or sounds while you are

asleep under general anesthesia is very rare, but can

occur. Remembering some talking or sounds while

having only monitored anesthesia/regional anesthesia

is a common and expected occurrence.

If this list seems overwhelming, please be reassured that

for most non-emergency surgery, the risk is very low for

any of the serious problems mentioned above. Talk to us

about any concerns you may have.

General Anesthesia

This is a process that includes administering many types

of both IV medications and inhaled gases to produce

a state where the patient is unconscious, feels no

discomfort and lies still on the operating room bed.

General Anesthesia Pros

• Often the most appropriate technique for extensive,

prolonged operations

General Anesthesia Cons

• “Minor” problems can occur: tooth damage, sore

throat, sleepiness, dizziness, nausea, etc.

• “Major” problems are uncommon, but severe heart and

lung problems can occur (see “Risks of anesthesia”).

Your risk increases if you are very young or very old,

or if you have pre-existing medical conditions.

Regional Anesthesia

This type of anesthesia produces numbness and loss

of movement localized to small or large portions of the

arms, legs, or abdomen – depending on the type of nerve

“block” performed. Pain relief is achieved by injecting

local anesthetics (and sometimes certain narcotics) in

veins or around nerves, or near the spinal cord in the

back. Although this may sound like an intimidating

process, we do these injections quite often, and it may be

the preferred technique for some procedures and some

patients with significant heart or lung problems. Many

blocks are performed using ultrasound guidance.

Regional Anesthesia Pros:

• Fewer minor side effects than with general anesthesia

regarding dizziness, sore throat or teeth issues

• Fewer very serious side effects than with general

anesthesia, for example breathing in stomach contents,

wide variations in pulse rate and blood pressure

• May have a faster outpatient discharge than with

general anesthesia

Regional Anesthesia Cons:

• Certain regional blocks are not 100 percent effective,

and supplemental IV or general anesthesia could be

required.

• Serious side effects (infection, bleeding, and even

nerve damage) are possible, although rare.

Combinations of Regional and General Anesthesia

In certain circumstances, a combination of a regional

anesthetic and a general anesthetic may be appropriate.

One example would be when regional anesthesia alone

would not be suitable for a particular surgery, but when

combined with a low dose of general anesthetic, provides

good anesthesia conditions, and also can result in faster

awakening and longer pain relief postoperatively.

Local Anesthesia

The surgeon will inject local anesthetic to provide

numbness at the surgical site. In this case there may be

no anesthesia team member with you, but you will have

a nurse specially trained in providing surgeon-directed

sedation monitoring your basic bodily functions.

risks assoCiatEd With anEsthEsia

Patients and their families often have questions about the

“safety” of anesthesia. We want you to understand that it

is difficult to completely separate the risk of surgery from

that of the anesthetic. There are specific risks related to

the surgical procedure; these will be discussed with you

by the surgical doctor. Risks related to the anesthetic, on

the other hand are more appropriately discussed by your

anesthesia doctor. Our aim is to fully inform you, but not

needlessly worry you. Most people who are healthy, aside

from the reason they are having surgery, have a low risk,

but since anesthetics are powerful medications there is

no such thing as “zero” risk. If you have other medical

problems, it may increase the overall risk, but this varies

for every patient.

anEsthEsia for ambulatory surgEry ContinuEd

“ i was very impressed with the attention

and care i received. Everyone was friendly

and compassionate.”

10 11

Madison Surgery Center is located in downtown

Madison at 1 South Park Street. The clinic entrances are

located on Park Street and Regent Street.

Free parking is available in the parking ramp attached

to the UW Health 1 S. Park Clinic. Patients enter the

ramp by turning from South Park Street onto Braxton

Place. From Braxton, turn left into the clinic lot and then

turn right to enter the ramp. Madison Surgery Center is located on the 3rd floor. If the ramp is full, please park on

the surface lot.

Please notify your family/friend that prior to leaving the

Surgery Center, we will request they bring the vehicle to

the Surgery Center entrance on the 3rd Floor of the ramp.

This will allow our staff to provide you with a safe and

efficient transfer to the vehicle.

Reminder: Please come directly to the Surgery Center

reception desk on the 3rd floor to check in for your

procedure/surgery. You do not need to stop to register

before entering the Surgery Center.

The UW Health 1 S. Park campus is a smoke-free facility.

map and dirEctions

W. Beltline Hwy./12 & 18

John Nolen Dr.

University Ave.

S. P

ark

St.

W. Wash

ington Ave.

Park St.

Hwy. 1

51

1 S. ParkClinic

E. Wash

ington Ave.

1 S. Park

Parking Ramp Entrance

Regent St.

Park St.

Braxton Place

Surface parking

Building loCation

park st. and rEgEnt st. arEa 1 s. park st. • CornEr of park and rEgEnt

Raymond Rd.

Lake Mendota

Lake Monona

Lake Wingra

University Ave.

Regent St.

Monroe

St.

E. Was

hingto

n Ave

.

Park

St.

W. Beltline Hwy.

Fish

Hatc

hery

Rd.

Mineral Point Rd.

Odana Rd.

Century Ave.

Bran

chSt

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Alle

n Bl

vd.

Airport Rd.

Gam

mon

Rd.

Whi

tney

Way

14

90

Mid

vale

Blvd

.

94

94

90

Monona Dr.

Stoughton Rd.

51

Milwaukee St.

AmericanPkwy.

PD

Sher

man

Ave

.

Cottage Grove Rd.

Fitchburg

Science Dr.

Highland Ave.Marshall Court

Northport Dr.

M

Capito

l Squ

are

M

Old Sauk Rd.

Aberg Ave.

Anderson St.Int’l

Ln.

30

West TowneMall

12

18151

151

12 18

12 18

East TowneMall

Airport

51

Regent

John

Nolen D

r.

Webster St.

Pinckney St.Fairchild St.

Dayton St.

Johnson St.

University Ave.

Park

St.

W. Wash

ington

Ave.

Main St.

Bedford St.

Basset St.

Broom St.

Braxton Pl.

Broo

ks S

t.

Mill

s St

.

Proudfit St.

Mur

ray

St.

Lake

St.

Fran

ces

St.

State St. Gorham

St.

Henry St.

Doty S

t.

Wilson S

t.Mifflin

St.

Carroll St.

Wisconsin Ave.Langdon St.

14

Greenway Blvd.

Rim

rock

Rd

.

14

Schroeder Rd.

Kessel Ct.

Junc

tion

Rd.

Park

St.

12 13

You will receive a call from a nurse prior to your

scheduled procedure/surgery date to discuss your

confidential health history and medical information.

The interview takes approximately 15 minutes. You

will have an opportunity to ask questions and learn

more about what to expect while at the Madison

Surgery Center.

Important: please have this form available at the time

of your interview so you are prepared to discuss the

information below with a nurse.

Any allergies to medication, latex or food.

Pertinent past and present medical information.

Past surgical history.

Present medication with dosage and schedule. This

includes over the counter and herbal supplements.

thE daY of Your proCEdurE/surgErY

The items listed below are meant to prepare you for the

day of your procedure/surgery.

Wear loose, comfortable clothing and shoes.

A shirt that buttons is preferable.

Leave all valuables and jewelry at home (i.e. wedding

band, watch, earrings, body piercing jewelry).

Do not wear make-up and nail polish (fingers or toes).

Do not wear contact lenses — glasses can be worn.

Please bring a case to store your glasses in.

Bring some form of photo identification.

Bring your insurance card.

Bring money for medications that may need to be

purchased at the pharmacy.

For cataract patients : if you have received eye drops

and eye kit, please bring them with you.

For children: bring a special blanket, stuffed animal

or toy. Remember to bring a bottle or sippy cup for

use after the procedure/surgery.

Bring a blanket and pillow in the car for the ride home.

A responsible adult should accompany you home after

your procedure/surgery and stay with you for 24 hours.

Diet instructions as follows:

Take these medications the morning of your

procedure/surgery with a sip of water.

You will receive a call between 1 and 3 pm the day before

your procedure/surgery with your expected time of arrival

and procedure/surgery time.

your procEdurE/surgEry chEcklist datEs to rEmEmbEr

Your proCEdurE/surgErY

Date

loCation

1 S. Park St., 3rd floor

Madison, WI 53715

Phone: (608) 287-2200

Toll-free: (800) 921-3444

Fax: (608) 287-2228

Website: madisonsurgcenter.org

folloW-up appointMEnt (if appliCaBlE)

Date

Doctor

Clinic location

Phone

You may return to work

Madison Surgery Center is a patient-focused center from:

® Accredited by / Acreditado por

UM-37071-13

Documents

CE CARE Madison Surgery Center - UW Health