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Piedmont Outpatient Surgery Center
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Advanced Directive Forms

  • POSC Advanced Directive Letter
  • POSC Advanced Directive for Natural Death
  • POSC Advanced Instructions for Mental Health
  • Healthcare Power of Attorney
  • Organ Tissue Donor Card
  • Registration Form

Financial Information Forms

  • POSC Payment Policy Letter
  • POSC Application for Financial Assistance

2465 Hanestown Lane,
Winston-Salem, NC 27103
p: (336) 201-0003 f: (336) 464-0736

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