Instructions prior to surgery

Home | Instructions prior to surgery

Instructions prior to surgery

Patient pre-registration and medication reconciliation forms

Completing the forms below and bringing them with you on the day of your surgery will greatly assist us in ensuring we have accurate insurance information, medical history and list of medications that you are currently taking:

We are required to provide you with the following information prior to your surgery. Please review the forms below.

Compliance HelpLine

We encourage employees, medical staff, vendors, patients, and business partners to report to Janice Stewart, Compliance Officer at 516.266.5014 or the Compliance HelpLine any actual or suspected violations of the Center’s policies and procedures and/or federal or state law. Calls received by the Compliance HelpLine are most often inquiries but can sometimes be reports of potential misconduct. Our investigatory process includes many methods to determine whether any misconduct occurred. Compliance takes all calls seriously. Inquiries are reviewed by the Compliance Officer and may also be reviewed by other applicable departments.
The Center’s Compliance HelpLine is available 24 hours a day, even days a week. Compliance HelpLine callers may remain anonymous and those who choose to give their name will have their identities protected to the extent allowed by law. The Compliance HelpLine has multi-lingual operators who can take reports from individuals whose first language is not English. The Compliance HelpLine can be reached by calling (800) 894-3226 or by visiting www.Northwell.ethicspoint.com online or by scanning the QR code.