1 North Washington Avenue, Lower Level, Bergenfield, NJ 07621

201.374.2829

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Patient Forms

All Patient Forms are in PDF format and require Adobe Acrobat Reader to view or print.

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Online Pre-Registration (a link will be texted and emailed to you prior to your procedure)
HIPAA Notice of Privacy Practices
HIPAA Notice of Privacy Practices (en Español)
Patient Rights and Responsibilities
Patient Rights and Responsibilities (en Español)
Advanced Directive

Our Mission

To provide the patient community with a premier medical facility that is conveniently located and offers a comfortable and safe surgical and recovery environment.

© 2024 Bergenfield Surgical Center, LLC.

Bergenfield Surgical Center

1 North Washington Ave., Lower Level
Bergenfield, NJ 07621

201.374.2829

Hours

Office
8:00a - 4:00p
Clinical
7:30a - 4:00p

Bergenfield Surgical Center is an Out of Network facility. The Center accepts Commercial Insurance with Out-Of-Network (OON) Benefits, Auto Insurance and Workers Compensation Insurance (subject to pre-approval). The Center does not participate in Managed Care or Medicaid plans. Bergenfield Surgical Center participates with Medicare.

Office: 8:00a - 4:00p
Clinical: 7:30a - 4:00p
201.374.2829
1 North Washington Ave
Lower Level
Bergenfield, NJ 07621
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