Surgical consent form

The goal of informed consent is to establish a mutual understanding between the patient and the physician/surgeon about the surgical procedure, care, and treatment you will receive. This process allows you to fully participate in decisions about your surgery and care.

Before you arrive at the surgery center, your surgeon will have discussed with you the condition requiring treatment and the nature, purpose, risks, and benefits of the operation/procedure, possible alternative methods of treatment, possible results of no treatment and possibility of complications. Your surgeon will have given you the opportunity to ask questions and have them answered to your satisfaction.

Please feel free to review our surgical consent form, which you will be asked to read and sign on the day of surgery.

Mission Statement

To effectively provide appropriate, safe, efficient and cost-effective care to patients requiring elective ambulatory surgery


Monday – Friday
6:00 am to 5:00 pm

Contact us

Midwest Center for Day Surgery
3811 Highland Ave
Downers Grove, IL 60515-1555
630.852.9300 | Fax 630.852.7773


Employee Extranet

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