This page contains links to notices and regulatory documents for patients, including Patient Rights & Responsibilities, HIPAA Notice of Privacy Practices, Advance Directives Notice, and ACA Notice of Nondiscrimination. Please review these forms below before arriving at Port Jefferson Surgery Center.

Port Jefferson Surgery Center's patient instructions related to your surgery can be accessed through the Simple Admit Online Medical History Portal. If you are unable to access patient information about your surgery through Simple Admit for any reason, please call our facility to receive instructions from our pre-admission nurse.

Simple Admit – Online Medical History Portal

Access patient instructions related to your surgical procedure.

Regulatory Documents

Patient Rights and Responsibilities

Understand your rights and responsibilities as a patient with us.

HIPAA Notice of Privacy Practices

Access the regulatory document – HIPAA Notice of Privacy Practices.

Advance Directives

View our Advance Directive Policy, and our adherence to the Patient Self Determination Act.

Notice of Nondiscrimination

ACA 1557 Notice of Nondiscrimination & Language Accessibility.

Return to our Patient Resources page