1895 Walt Whitman Road
Melville, New York 11747

The following is a list of guidelines to follow in order to make your appointment a smoother experience:

Patient Information


               •  If you wear eyeglasses,
               please bring in the case for
               storing during your procedure.

               •  Do wear your hearing aide/s. 

               •  Do bring any crutches/walkers

                  or other medical equipment

               •  Please bring a translator if

Please note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

To save time on the day of your appointment, please fill out these forms and bring them with you:

     •  Patient Registration 

     •  Notice of Privacy Practices 

     •  Statement of Patients' Rights 

     •  HIPPA Compliance Policy and Adoption 

     •  Patient Responsibilities 

     •  Pre-Operative Instructions 

     •  Do Not Resuscitate (DNR) Information 

     •  Advanced Directives 

     •  Directions to the Office (printable)

Patient Information
Melville Surgery Center Patient Care

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                  •  All jewelry needs to be removed

                     prior to the procedure including

                     all body piercings. Please don’t

                     bring valuables to the Center

                     unless your companion will hold
                     them for you.

                 •  Don’t wear any makeup on the

                    day of your procedure.

                 •  Don’t wear contact lenses.