(503) 714-7294
  • Directions

River Road Surgery CenterRiver Road Surgery Center

  • For Patients
    • Keeping You Safe
    • Surgery Scheduling
    • Preparing for Surgery
    • Tips for Children
    • Anesthesia
    • Patient Forms
    • Insurance and Billing
    • FAQs
  • Find a Physician
  • Specialties
  • For Physicians
  • About Us

Patient Forms

At River Road Surgery Center, your time is as valuable to us as it is to you. That’s why we provide online access to a variety of forms that patients may complete before their visit. The following documents will help us expedite the check-in process for your appointment. Please take a moment to download and print the appropriate form(s).

General Pre-Surgery Instructions

Download

General Post-Surgery Instructions

Download

Medical Release Authorization Form

Download

Advanced Directive Form

Download

Privacy HIPAA Policy (English)

Download

Privacy HIPAA Policy (EspaƱol)

Download

Anesthesia Consent Packet

Download

Surgery Consent Packet

Download

FAQs

Download
Keeping You Safe Surgery Scheduling Preparing for Surgery Tips for Children Anesthesia Patient Forms Insurance and Billing FAQs
  • Contact Us
  • Notice of Nondiscrimination
  • Notice of Privacy Practices
  • Terms of Service
  • Internet Privacy Policy
  • Billing Disclosure

River Road Surgery Center
3099 River Road South, Suite 100,
Salem, OR 97302

© 2026 River Road Surgery Center