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Registration Forms 

For your convenience, University Surgical Associates (USA) provides for online preregistration. Through our secure online registration and payment portal, you can now fill out all necessary first appointment paperwork from the comfort and privacy of your own home. 

Our secure network and encryption feature ensures the information you submit remains in strict confidence with proper USA administrative staff.

Please be sure to follow the registration instructions provided. If you should encounter any issues downloading, saving or filling out registration forms online, please contact USA at (423) 267-0466.

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979 E. 3rd St., Suite C-300 · Chattanooga, TN 37403 · 423.267.0466 / 800.833.0572