DRIVING DIRECTIONS | 410.560.3301 FOR PATIENTS PHYSICIANS SPECIALTIES CONTACT DAY OF SURGERY AFTER SURGERY PATIENT FORMS For your convenience, you can fill out all of the Patient Packet forms ahead of time and bring them in on the day of your procedure. Download and fill out each of these following forms. Authorizations & Disclosures Notice of Privacy Practice Assignments of Benefits Patient Evaluation Anesthesia Consent Surgery Consent © Copyright 2021 Timonium Surgery Center 1954 Greenspring Dr., LL18, Timonium, MD 21093 All rights reserved. Site design by WDS Contact Home

DRIVING DIRECTIONS | 410.560.3301 FOR PATIENTS PHYSICIANS SPECIALTIES CONTACT AFTER SURGERY The Timonium Surgery Center is located on the side of a modern looking glass office building in Timonium called “Timonium Two,” where there is plenty of free parking right at the front door of the center. This building is located in a complex with the Radison Hotel, on a road called Greenspring Drive, not far from the Timonium Fairgrounds. You can reach this building from York Road or from Interstate 83. Timonium Surgery Center, LLC is licensed by the State of Maryland, and accredited by the Accreditation Association for Ambulatory Health Care (AAAHC). Timonium Surgery Center was established in 2009 by hospital and clinical personnel to provide first-class surgical services for the local community in a safe, comfortable and welcoming environment; one in which we would be happy to treat our own family. You will find that because the center specializes in outpatient surgery, our patients enjoy many advantages, including personalized and efficient service and excellent medical care. We are proud to serve you and are committed to meeting your healthcare needs in a state of the art environment, with a first-rate staff and excellence in patient satisfaction. Timonium Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. © Copyright 2021 Timonium Surgery Center 1954 Greenspring Dr., LL18, Timonium, MD 21093 All rights reserved. Site design by WDS Contact Home

DRIVING DIRECTIONS | 410.560.3301 FOR PATIENTS PHYSICIANS SPECIALTIES CONTACT AFTER SURGERY BILLING INFO After surgery, Timonium Surgery Center, LLC will submit your bill to your insurance company. You will receive a separate bill from your doctor, anesthesiologist and/ or pathologist. Please contact our business office for any questions regarding your bill and /or payment options. DISCLOSURE OF OWNERSHIP: Your physician has a financial interest in Timonium Surgery Center, LLC. © Copyright 2021 Timonium Surgery Center 1954 Greenspring Dr., LL18, Timonium, MD 21093 All rights reserved. Site design by WDS Contact Home