Before Surgery

Before Surgery

At Home

Before your surgery, you can print out the following forms to read and fill-out.

Privacy Notice

Acknowledgment of Receipt Privacy Notice patient rights advance directive
You can bring the signed Privacy Notice the day of surgery.

Patient Health Assessment Questionnaire
Please fill this form out a week before surgery and send it to:

Culpeper Surgery Center
541 Sunset Lane, Suite 201
Culpeper VA 22701

or fax: 540-829-8191

Patient Rights document. Please read our Patient Rights and then download the Acknowledgment of Receipt Privacy Notice

Notification of Ownership


The Culpeper Surgery Center is located next to the Culpeper Medical Center in the hospital campus off of Sunset Lane. Once you have registered with the receptionist we will begin the pre-op check in process.

Day of Surgery

Check in at the appointed time. You will be prepared for surgery, medically assessed and our anesthesiologist will speak with you regarding anesthesia options and answer your questions. One family member or friend should remain in the waiting room during your surgery, in case of emergency. A legal guardian must be with children under 18 years of age.

541 Sunset Lane
Culpeper VA 22701 

p: 540-829-0700
f:  540-829-8191

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Accredited by the Accreditation Association for Ambulatory Health Care, Inc.