In-Office Surgery Reporting Cover Letter

In-Office Surgery Reporting Form Instructions
IMPORTANT!  Please read before completing any In-Office Surgery Reporting Forms.  Download this printable set of instructions (PDF File).

In-Office Surgery Reporting Form, Form A
To report in-office surgical procedures performed during the calendar year 2010, download this printable form (PDF File), to comply with annual reporting requirements.

In-Office Surgery Sentinel Event Reporting Form
To report sentinel events included on Form A for reporting of in-office surgical procedures performed during the calendar year 2010, download this printable form (PDF File), to comply with annual reporting requirements.

In-Office Surgery Reporting Form, Form B
If you DID NOT perform any in-office surgical procedures during the calendar year 2010, download this printable form (PDF File) to comply with annual reporting requirements.