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).

Acknowledgement of Receipt of Notice of Privacy Practices

Consent for Use and Disclosure of Health Information

Notice of Privacy Practices and Physicians Right of Ownership