Surgery Scheduling Block Request Form


Here is the Surgery Scheduling Block Request Form for Main Surgery and the Outpatient Surgery Center (OSC).

This form is an active PDF that can be filled out electronically. Please fax it back to Surgery Scheduling.

If you have questions, please call the surgery director at (217) 544-6464, ext. 51658.

SJS-RS-SurgeryScheduling@hshs.org

Fax: (217) 757-6018