Darrel Moore, Procedures and Surgery Coordinator
Direct 707.508.3978
Fax 707.528.6587

Scheduling Form


What we offer you, the Surgery Scheduler:

1. A commitment to making your job as a surgery scheduler as efficient as possible.
2. Block time assignments which enable your surgeon to efficiently utilize his/her time.
3. We are an “In Network” Insurance Provider for most major carriers, but will also facilitate your scheduling of Out of Network Cases.

What we offer your Patients:

1. A comfortable and personal non-hospital environment for your patients with experienced, compassionate staff from the local community.
2. Board Certified Physician Anesthesiologists
3. Easy access from all Santa Rosa locations.
4. A Business Office and Billing Service that will strive to make every patient happy.

What we offer your Surgeon:

1. An efficient operating room with extremely short turnovers, restoring time and control to your surgeon.
2. A physician owned and directed system; assuring that your surgeon’s needs will be a number one priority and that any requests will be acted upon immediately.
3. A Medical Record Charting System that will minimize the “hassle” of endless forms.


About Physician Recruitment at ASI

Advanced Surgery Institute is an outpatient physician owned surgery center seeking to recruit those that wish to work with highly skilled personnel in a common goal of serving our community. The facility strives to meet the needs of the physician.  ASI offers local opportunities that are unparalleled by the competing organizations.

If you are interested in becoming a credentialed physician with ASI, please contact Annie Ouzounian, in our credentialing office at (707) 236-8111 or email [email protected]

Pre-Op Instructions & Labs

PreSurgery Evaluation – download form

Adult and Pediatric Health Questionnaires (also in Spanish for adults). If you can give this to your patients, it will greatly facilitate our preop calls and our admission process, avoiding delays for your surgeon. They may fax the forms to (707)528-6587 or mail to us.


A nurse from ASI will call each patient one to two days prior to surgery with preoperative instructions and a specific time to arrive for the surgery. We will provide you with a patient instruction sheet (included), but it would be very helpful if you would emphasize the following points.

Patients may not drive after surgery. Patients must arrange to be accompanied by an adult and they must have someone staying with them for the first night after surgery.

Patients must follow the instructions on their preop health questionnaire regarding eating and drinking. Patients should remain NPO after midnight, unless their surgery is scheduled after 12 noon. If scheduled after 12 noon, the patient may have CLEAR LIQUIDS only, up until 4 hours prior to their scheduled surgery time. Special instructions pertaining to Pediatric patients will be given during our preoperative phone call.

Patients are normally instructed to arrive at the center one hour prior to the scheduled time of surgery. It is important that they arrive promptly so that the preoperative preparation may be completed in time for surgery.


ASI has no blanket requirement for preoperative studies. All lab work, including ECG’s, are ordered at the attending physicians discretion based upon the patient’s medical status and the scheduled surgical procedure.

If you have any questions regarding preoperative preparation of your patient, please do not hesitate to call our Administrator-Director of Nursing, Ann Hurd, RN or Dr. Gian Nhan, our Medical Director.


You can now access, download and print all patient, scheduling, and surgeon forms from our website.