Patient Forms

Patient Rights and Responsibilities - Download PDF

Conditions of Admission and Authorization for Medical Treatment - Download PDF

Notice of Privacy Practices for Protected Health Information - Download PDF

Advance Directives - Download PDF

Living Will Declaration - Download PDF

ARKANSAS SURGICAL HOSPITAL
5201 Northshore Drive
North Little Rock, AR 72118
501.748.8000

Call for Surgeon Referral: 800.901.0307

MISSION
Our mission is to enhance the quality of life for our patients, physicians, employees and community through safe, high-quality, high-value care.

VISION
Our vision is to be the leader in achieving the pinnacle within our specialties, utilizing innovative and efficient processes to ensure an exceptional experience for all of our customers.

VALUES
We offer compassion, respect and integrity for our customers' ultimate satisfaction every day. We are focused. For Our Customers' Ultimate Satisfaction Every Day - FOCUSED.