479-713-6100 | (800) 656-6161

Pre-Surgical Forms

To better serve you, North Hills Surgery Center has partnered with Simple Admit for pre-surgical registration. Simple Admit is a patient engagement company owned and operated in the U.S. and is widely used by healthcare facilities.

For your convenience, please click the online patient form link below to fill out your pre-surgical forms at least 72 hours PRIOR to the day of surgery. If you prefer to register by phone please call 1.877.848.4726 M-F 6:30 AM – 8:00 PM, Sat 9:00 AM – 2:00 PM, Sun 11:00 AM – 5:00 PM.

For all new patients, the registration password is NHSC479NEW. If you are a returning patient please follow the instructions once you are inside the patient portal.

Online forms are available in 100 different languages. You may select a different language once inside the patient online forms on the right-hand side.

 

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Billing & Financial

If your insurance does not cover 100 percent of the surgery cost, please be prepared to pay your co-pay, deductible and/or coinsurance the day of your surgery. We are happy to file your insurance claim for you. However, you are responsible for the bill. Our financial representative will contact you prior to your procedure to inform you of the amount due. We accept all major credit cards including Care Credit. For more information regarding Care Credit please visit their website: www.carecredit.com.

If you need to provide North Hills with your insurance information or discuss your fees and payment options, please contact one of our financial representatives at 479-713-6161.

Physician and Specialist Fees: Professional fees charged by your physician and other specialists including anesthesiologists, pathologists, radiologists, and physician consultants are not included in your surgery center bill. These physicians will bill you directly for their services.

Patient Payments

Pay your bill with our convenient and secure Online Patient Portal.