On the evening of 12/15 and morning of 12/16, we will be performing required maintenance to our website.  The website will have periods of inaccessibility between the hours of 9pm and 6am.

Surgery Block Time Release Form

Here is the Surgery Block Time Release Form for Main Surgery and the Outpatient Surgery Center (OSC).

This form is an active PDF that can be filled out electronically. However, to send the form back electronically you must use Internet Explorer.

You may also fill out the form electronically, print it and email or fax it back to Surgery Scheduling.


Fax: (217) 757-6018