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  • About Us
    • About Us
    • Contact and Directions
    • What is an Ambulatory Surgery Center?
    • Surgery Reminder Summary
    • Careers
  • Procedures & Specialties
  • Physicians
  • Patient Resources
      Preparing for Surgery
      • Pre-Surgery Checklist
      • Patient Information Packet
      • Health History Questionnaire
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      • Accepted Insurance Plans
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      • FAQ
      During Your Stay
      • Check-in & Admission
      • FAQ
      After Your Surgery
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      • Post Operation Pain Relief
      • Recovery & Reminders
      • Billing FAQ
      How to Pre‑Register
860-859-9948
Get Directions
River_Valley_ASC_Logo
860-859-9948
River_Valley_ASC_Logo
206-382-1021
  • About Us
    • About Us
    • Contact and Directions
    • What is an Ambulatory Surgery Center?
    • Surgery Reminder Summary
    • Careers
  • Procedures & Specialties
  • Physicians
  • Patient Resources
      Preparing for Surgery
      • Pre-Surgery Checklist
      • Patient Information Packet
      • Health History Questionnaire
      • Children & Special Needs Adults
      • Accepted Insurance Plans
      • Anesthesia
      • FAQ
      During Your Stay
      • Check-in & Admission
      • FAQ
      After Your Surgery
      • Pay Bill
      • Post Operation Pain Relief
      • Recovery & Reminders
      • Billing FAQ
      How to Pre‑Register
Get Directions

Health History Questionnaire

  1. Home
  2. Preparing for Surgery
  3. Health History Questionnaire

For your convenience we now offer One Medical Passport for your surgery. Please complete the required Health History Registration by clicking on the link below:

Start Your Online Questionnaire

River Valley ASC
45 Salem Turnpike
Norwich, CT 06360
Phone: 860-859-9948
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