The Shoulder and Elbow Restoration Center
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Important Contact Information
Contact Information
Oak Park Directions
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Preparing for Surgery
Surgical Time Information
Preparation for surgery
Medications to Stop Before Surgery
Types of Anesthesia
Emmi® Patient Education
Insurance & Financial Obligations
Financial Obligation
Surgical Financial Requirement Agreement
Post-Op Appointment
Post-op Pain Medications
Post-Op Instructions & Exercises
Post-op Instructions Shoulder Surgery
Shoulder Post-op Exercises
Medical Equipment
Durable Medical Equipment Information
Acknowledgement of Patient Responsibility
Physical Therapy
Outpatient Physical Therapy
Return to Work Information
After Shoulder Surgery
Other Information
Lodging in Oak Park
Lodging in Chicago
Where to Dine in Chicago


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Surgical Financial Requirement Agreement

If you have not already, please download, print, sign, and return the form below.

Surgical Financial Requirement Agreement


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