PLEASE PRINT IN LANDSCAPE!
MARCUS A. EAST, M.D.
RYAN W. LAPOUR, M.D.
MARCUS A. EAST, M.D.
RYAN W. LAPOUR, M.D.
The following appointments have been made for you:
The following appointments have been made for you:
1.)
Pre-operative appointment
in our office.
1.)
Pre-operative appointment
in our office.
Please bring with you:
A detailed list or bottles of
all medications;
prescription and over the counter.
Your
completed health history form
to the
Pre-operative appointment.
Please bring with you:
A detailed list or bottles of
all medications;
prescription and over the counter.
Your
completed health history form
to the
Pre-operative appointment.
2.)
Surgery scheduled at
Salem Laser & Surgery Center:
Salem Hospital:
Northbank Surgery Center:
2.)
Surgery scheduled at
Salem Laser & Surgery Center:
Salem Hospital:
Northbank Surgery Center:
3.)
Post-operative appointment
in our office.
3.)
Post-operative appointment
in our office.
655 Medical Center Dr NE
Salem, Oregon 97301
503.581.5287
655 Medical Center Dr NE
Salem, Oregon 97301
503.581.5287
PRINT FORM