Office Information & Patient Forms

Office Hours

Monday - Thursday: 8:00am - 5:00 pm

Friday: 8:00am - 2:00pm

For New Patients:

New Patient Questionnaire

Please submit your form at least 1 day prior to your appointment.

Submit Form Online 


Download Form & Print

Your information will be

transmitted to our office securely


You can print the form, complete it

and fax it to 806-212-0355


Office Information

* The doctors of Amarillo Surgical Group are all Board Certified and limit their practice to surgical problems in their specialty


Our Surgeons practice only at BSA Hospital.


Our office is open Monday through Thursday from 8 AM to 5 PM and Friday from 8 AM to 2 PM. An appointment is needed to see the doctors, as each has specific times to see patients in the office, and spends a majority of the time in surgery or at the hospitals.


In order for our staff to handle all the calls that come in, please let us know when you call how we may help you.


In case of medical emergency please call our office at our main number (806) 212-6604, day or night. Please give the office all requested or pertinent information. At times the message may need to be relayed to your physician during surgery.


We expect any amounts not covered by insurance to be paid at the time of service. If you do not have insurance coverage, please speak to our Patient Accounts office to make payment arrangements or see if you qualify for financial aid.


We will bill your insurance directly or provide you with a claim form which you may attach to your own insurance form and submit to your carrier. We are participating providers with several networks. If your insurance plan requires that you see only participating providers, please verify before your appointment that we are providers for your plan. Also, if your plan requires a referral you will need to bring that to your appointment.


We participate with Medicare which means we accept Medicare assignment. After Medicare pays, we will file your supplemental insurance and/or bill you for the remaining 20% that Medicare does not pay.


If your evaluation includes x-rays, lab, or other tests, these will be done as an outpatient at another facility and you will receive a
bill from that facility and from the doctor who interprets the tests. If your insurance requires the use of a specific facility, please let
us know.


We require your written consent to provide your protected healthcare information to any outside party.


In the event that you are scheduled for Surgery or Admission to the Hospital, our staff will contact your insurance company for precertification. We will need to make a copy of your insurance card that has a telephone number and an address to mail your
claim to.


Amarillo Surgical Group Associated offers and maintains this website to provide information of a general nature about the practice and conditions requiring the services of a general or cardiothoracic surgeon. The information is provided with the understanding that Amarillo Surgical Group Associated is not engaged in rendering surgical or medical advice or recommendations. Any information in the publications, messages, postings, or articles on this website should not be considered a substitute for consultation with a physician to address individual medical needs. Individual facts and circumstances will determine the treatment that is most appropriate.