Patient Forms

Thank you for taking the time to download our forms. Just click on the appropriate form and print. If possible, please drop these forms by our office prior to your visit. If your appointment is several days in advance, you may mail the forms to our office (see mailing address below). Otherwise, you should arrive 30 minutes prior to your scheduled appointment.

Mailing Address
Village Surgical Associates, PA
1841 Quiet Cove
Fayetteville, NC 28304
Fax Number: 910-323-3862

Click on the document titles below to view and print the forms.
The following forms are in PDF format. In order to view and print these forms, you will need the free Adobe Reader software. If you do not have Adobe Reader, you can Download it Here.

file_pdfGeneral Patient Information Form (all patients)
Morbit Obesity Forms
Notice of Privacy Practices