Consumer Access Request Form

Consumer Access Request Form

  • If you do not have an email address, please type "none". Fields with * are required

  • Information Being Requested

  • We do not sell personal information that we have collected from consumers to any third parties. By completing this form, you are making a Consumer Access request under California Consumer Privacy Act for personal information collected, held and disclosed about you that you are entitled to receive. On this date , I affirm that I am the consumer, or authorized by the consumer to act on their behalf. I understand that misrepresentation may be subject to legal action.

Specialities & Services

We focus on offering a high quality, service-oriented environment for your surgical procedure. Our mission is to care for every patient and their family as if they were our own. Each patient, each family, each and every time.

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Outpatient Joint Replacement

For the right patient, the same-day surgical option for joint replacement exists here at St. Mary’s Ambulatory Surgery Center.LEARN MORE »
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Orthopedic Surgery

Using the latest treatments to help patients affected by orthopedic injuries, generative diseases, and orthopedic conditions.LEARN MORE »
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Otolaryngology (ENT)

Our physicians use sound judgment, advanced technology, and experienced surgical skills to treat a variety of conditions.LEARN MORE »
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General Surgery

The decision to have any surgery is an important one, and choosing the right surgeon is crucial. Click below to learn more!LEARN MORE »
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Pain Management

The pain management specialists at St. Mary’s use cutting edge technology and techniques to alleviate your pain.LEARN MORE »
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Podiatry

Our Podiatrists treat many diverse aspects of the foot and ankle from sports medicine, pediatrics, dermatology, and diabetes.LEARN MORE »

Interested in Outpatient

Joint Replacement?

Click the button below to learn more about Outpatient Joint Replacement at St. Mary’s Ambulatory Surgery Center.

CLICK HERE