Surgery Scheduling/Orders Process

Please call to schedule a surgery. Surgery time and PAT time will be given by the scheduler.

Upper Valley Medical Center Surgery Scheduler:
(937) 440-4111

Hyatt Surgery Center Surgery Scheduler:
(937) 440-7154

Complete the UVMC Surgery Order Sheet

Order Sheets are available for download.

  • All fields need to be completed
  • These orders will be for PAT and Day of Surgery
    • Without this set we will not be able to process your patients
  • Surgeon must sign order sheet (Order sheet serves as PAT/pre-op orders; therefore, no further action is needed by the surgeon)
  • It is necessary for you to complete the order sheet in your office and fax it to:
    • Central Scheduling at (937) 335-5064 for surgeries being scheduled at UVMC, or  
    • Hyatt Surgery Center at (937) 667-5660 for surgeries being scheduled at the Hyatt Surgery Center

For questions about surgery scheduling at UVMC, please call Jane Campbell at (937) 440-4975 or Terry Fry at (937) 440-4777.

For questions about surgery scheduling at the Hyatt Surgery Center, please call Susan Weaks at (937) 440-7157 or Terry Fry at (937) 440-4777.


    Right Nav - Physician Support


    Premier Pulse Callout