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Please bring the following with you to Tri City Surgery Center: - page 1 / 15

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PRE-PROCEDURE CHECKLIST

Please bring the following with you to Tri City Surgery Center:

  • Medication Record

  • Insurance Card

  • Photo Identification Card (i.e. State ID, Driver’s License)

  • Reading Glasses, if applicable

  • Case for your dentures, glasses, contact lenses, or hearing

aid, if applicable

If your child is having surgery:

  • Favorite toy or blanket

  • Formula or special food, if needed, for after surgery

  • Diapers, if applicable

  • Car Seat – Required for a child who is under five years of age

by Arizona law

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