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Online Medical History

Thanks to state of the art encryption technology, Centennial Surgery Center now offers a secure method of providing your medical history information for your scheduled outpatient procedure. This is accomplished through our Simple Admit pre-admissions form that is fast and easy to use. The medical information you provide is automatically entered into our electronic system minimizing any errors. Your medical and personal information remains secure and private.

Please click on the link below to access this secure site and use CSC856NEW as your password.

If you should have any difficulty with this online registration form,

please contact the Simple Admit Support Staff at 1-877-848-4726

For any other concerns or questions, please contact CSC

Pre-Admission Department at 1-856-874-0790 ext 115

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