PREPARING FOR YOUR SURGERY • Sometime before your surgery date, a staff member from the Ohio Valley Ambulatory Surgery Center will call you to confirm your surgery time. They will ask you questions regarding current or past medical conditions, allergies and medications you are taking. Please don't hesitate to ask any questions you may have, and be sure to let the staff know of any special needs. • The Ohio Valley Ambulatory Surgery Center Staff will also call you regarding your financial responsibilities. • Your doctor or the The Ohio Valley Ambulatory Surgery Center nurse will instruct you as to WHAT TIME YOU ARE TO STOP EATING AND DRINKING prior to surgery. • If you take medication for any conditions, ask your doctor and/or the Ohio Valley Ambulatory Surgery Center's nurse whether or not to take it the day of the surgery. • For women, if there is any possibility that you are pregnant, please notify your doctor and/or the Ohio Valley Ambulatory Surgery Center's nurse. • Leave all valuables at home, including watches, rings, jewelry and wallets. • Please notify your surgeon of any change in your health, such as a cold, fever or sore throat. • For your safety, please arrange for an adult friend or family member to drive you home. They will be required to wait at the Ohio Valley Ambulatory Surgery Center for you until you are discharged. • If you have any questions, please call us at 740.423.4684 DAY OF SURGERY • Arrive promptly at the time instructed during your pre-op call. This will allow adequate time for all necessary admission procedures. • Please bring your insurance identification cards and photo ID. If special financial arrangements are necessary, please call the Ohio Valley Ambulatory Surgery Center prior to admission. • Be sure to bring any paperwork your doctor gave you, such as test results or your medical history, and a list of medications you are taking. • Wear comfortable loose fitting clothing. • Upon arrival, you will change into a hospital gown and slippers which we provide. You will be asked to remove contact lenses, dentures, jewelry and any prosthesis. IN THE RECOVERY AREA • After surgery, you will be moved to the Recovery Area where you will be closely monitored until you are ready to go home. • When you are fully awake, your family will be able to join you. Although the times may vary, most patients are discharged 45 minutes to 1-1/2 hours after surgery. • It is perfectly normal to feel discomfort in the area of the surgery. You may also experience some drowsiness or dizziness, depending on the kind of anesthesia you received. AT HOME AFTER SURGERY • Your surgeon will provide specific instructions for care while recovering at home. In the event of difficulty, please call your surgeon. • For the first 24 hours following surgery, do not engage in strenuous activities, do not drink any alcoholic beverages, drive, or make any critical decisions. • A nurse from the Ohio Valley Ambulatory Surgery Center will call you within a day or two to evaluate how you are recovering at home. • You will be asked to complete a questionnaire about the care you received. Your comments will enable us to continue to improve our services. YOUR RESPONSIBILITIES AS A PATIENT • To provide the Ohio Valley Ambulatory Surgery Center with a complete medical history, present complaints and other matters relating to your health. • To ask questions if directions, procedures or other information is not understood. • To follow the plan of treatment and instructions recommended by your physician and other professionals responsible for your care. • To accept consequences of your actions if you fail to follow the plan of treatment. • To show respect and consideration for other patients, families and visitors of the Ohio Valley Ambulatory Surgery Center. FINANCIAL INFORMATION • Ohio Valley Ambulatory Surgery Center's fees cover the use of the facility only, and do not include laboratory, pathology, surgeon or anesthesiologist fee. You will be billed separately for these services. • As a courtesy, we will bill your primary and secondary insurance carriers or governmental agency directly for the Ohio Valley Ambulatory Surgery Center's charges. Be sure to bring your most current insurance, Medicare, or public assistance card with you on the day of your surgery. If you have more than one insurance carrier, we will also need accurate secondary billing information. • Please be aware of any admission policies your insurance plan may have. You or your physicians may have to adhere to certain requirements in order to insure maximum reimbursement. Failure to obtain pre- authorization, physician referral, or a second opinion may greatly reduce or eliminate your benefits. • Be prepared to bring any co-pay or co- insurance amounts on the day of your surgery. Patients who do not have insurance coverage may also be required to pay a portion of their charges in advance. Also, please make sure you bring a photo ID. We will need to see this as part of your insurance validation. We realize, however, that at times you may require special financial arrangements. In these instances, please phone our office prior to your surgery to discuss alternative methods of payment. The Ohio Valley Ambulatory Surgery Center accepts cash, cashier's checks, credit cards, and personal checks with a valid I.D. • Please feel free to contact our business office at any time if you have questions or concerns regarding the facility charges, the financial policy, or billing procedures. Call 740.423.4684 for more information.

Ohio Valley Ambulatory Surgery Center • 608 Washington Boulevard • Belpre, OH 45714 • P: 740.423.4684 • F: 740.423.4694 • eMail: info@ohiovalleyasc.com

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