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Patient Forms

At Northfield Surgical Center, your time is as valuable to us as it is to you. That’s why we provide online access to a variety of forms that patients may complete before their visit. The following documents will help us expedite the check-in process for your appointment. Please take a moment to download and print the appropriate form(s).

Patient Rights Brochure

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Notice of Privacy Practices

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Multiple Authorization Form

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Pre-Procedure Questionnaire

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Lab Genesis – Out of Network Disclosure

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Northfield Surgical Center
741 Northfield Ave., Ste. 102,
West Orange, NJ 07052

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