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:
- Private insurance registration form
- Workers Comp or No Fault insurance registration form
- Medical reconciliation form
- Patient acknowledgement regarding billing for out of network insurance plans
We are required to provide you with the following information prior to your surgery. Please review the forms below.
- Patient bill of rights
- Disclosure of ownership/advanced directives policy
- Information regarding Suffolk Surgery Center charges
- Notice of participation with insurance plans
- Notice regarding billing for out of network insurance plans