Patient Forms

Please be sure to read and sign the following before your first visit:

Things to Consider


A nurse from the Lakeside Surgery Center will contact you at least 24 hours before your procedure. Please notify your surgeon, before your scheduled procedure, if there is a change in your physical condition such as a cold, fever or respiratory problems.

Arrange for a responsible adult to drive you home and remain with you the first 24 hours after your procedure, unless otherwise instructed.

Do not eat or drink anything after midnight, unless otherwise specifically instructed by one of the surgery center nurses. Also, please follow any other specific instructions your surgeon may have given you. Failure to follow these instructions may result in cancellation of your procedure.

You will need to have all your lab work and any other required tests completed prior to the scheduled date of your procedure.

When you arrive at the Lakeside Surgery Center you will be greeted by our reception staff, who will check you in and register you for your procedure. Please bring your driver’s license, insurance card, and any co-pay or co-insurance on the day of your procedure. Once you have completed your registration a Pre-Op nurse will bring you back to your private Pre-Op room to prepare you for your procedure..


Depending on the type of surgery and other factors, you may walk into the operating room and anesthesia will be administered there. An Anesthesiologist or Certified Registered Nurse Anesthetists administer a full line of anesthesia services for patients of all ages. If you have questions about Anesthesia please contact us at (402) 758-5120 to speak with our Anesthesia providers or review information on this website: Lifeline to Modern Medicine to help provide more insight and answers questions about Anesthesia care.

The length of time you will spend in the operating room will depend upon the type of surgical procedure. Ask your physician in advance how long your surgery is anticipated to last. If your child is having surgery, feel free to bring a favorite stuffed toy or security blanket for added assurance. A parent or guardian must remain in the surgery center throughout the minor child’s stay.

Your Procedure

After Your Procedure

After your procedure is complete, you will be moved to a recovery area and under the supervision of an RN. Once you are ready for visitors, you will be moved to a more private recovery area where you may be given something to eat and drink, and your visitors will be invited to you join you.

You will be given written instructions regarding diet, activity and medications. In the event of any difficulty, call your surgeon, their answering service, or the nearest hospital emergency room.

A nurse for the Lakeside Surgery Center will call the day after your procedure to see how you are doing and to answer any questions you may have.



A member of our business office will call your insurance company prior to surgery and verify your medical benefits for our facility charge. Our charges cover your pre-operative evaluation, most supplies and medications, equipment, personnel and use of the operating and recovery rooms. Prior to your surgery, we will obtain the necessary information regarding your deductible, co-insurance and any co-payment amounts due that are considered your responsibility per your insurance plan. Any amounts due should be paid at the time of service. For most procedures, we accept cash, personal checks, credit cards, Care Credit, and Pay Flex accounts.


Additionally, we encourage you to contact your insurance provider prior to surgery with any questions in regard to your health care plan. If you have no insurance or if your insurance does not cover the procedure to be performed, please contact our Billing Office at (402) 403-1950 or visit our website at Online Bill Payments to make payment arrangements prior to your scheduled surgery.

In addition to our facility fee, you may receive separate bills for the following:

  • Your physician or surgeon
  • Anesthesia, if you received general anesthesia or an anesthesiologist needed to be available during your procedure
  • Laboratory tests, if they were required by your physician
  • Diagnostic tests, such as radiology imaging before or during your procedure
  • Pathology services, if tissue or specimens were collected during your procedure
  • Durable Medical Equipment or supplies such as crutches, slings, braces, cold compression packs, etc.

Any questions regarding these services should be directed to their respective billing offices.