Your Visit

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Central Surgical Associates looks forward to having you join our host of satisfied clients. Each of our doctors has schedules tailored for your convenience. To schedule an appointment, please call us at 601-944-1781. To request an appointment online, please click here. If this is a work related injury/Workman’s Compensation claim , please contact our office prior to your appointment with your information.

Once you have made your initial appointment, you can pre-register by clicking on the links below to download the New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process and get you in to see the doctor faster!

 

Our Forms:

 
PATIENT INFORMATION PACKET

 

ACCIDENT FORM

 

CSA NOTICE OF PRIVACY PRACTICE

 

MEDICAL RECORDS RELEASE

 

PATIENT PORTAL CONSENT FORM

 

FULL VERSION HIPPA POLICY

 

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking here.