Patient Forms

At New Jersey Surgery Center, your time is as valuable to us as it is to you. Upon scheduling your surgery, a member of our staff will provide you with the required forms to fill out. We encourage you to take time to complete these before arriving for surgery, so that we may care for you promptly. If you happen to misplace any of the provided forms, duplicates are available below to download and print.

Patient Bill of Rights

Consent for Admission and Treatment (English)

Medicare Beneficiary Ombudsman

Advance Directive

Consent for Treatment

Pre-Op Interview

Patient Disclosure Brochure

Notice of Privacy Practices