(248) 220-7505 | 359 Enterprise Ct. Bloomfield Hills, MI 48302

VISIT OUR PATIENT PORTAL

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  • About Us
    • About Bloomfield Surgical Center
    • Careers
  • What to Expect
    • What to Expect on your Visit
    • Billing and Insurance
    • Forms
    • Covid-19
  • Contact Us
  • Home
  • About Us
    • About Bloomfield Surgical Center
    • Careers
  • What to Expect
    • What to Expect on your Visit
    • Billing and Insurance
    • Forms
    • Covid-19
  • Contact Us
  • Home
  • About Us
    • About Bloomfield Surgical Center
    • Careers
  • What to Expect
    • What to Expect on your Visit
    • Billing and Insurance
    • Forms
    • Covid-19
  • Contact Us

VISIT OUR PATIENT PORTAL

Forms for your visit

Please remember to print and complete the below forms prior to your visit.

  1. Patient Welcome Brochure
  2. Patient Registration Form
  3. Patient Financial Responsibility Form
  4. Patient Receipt of Information Form
  5. Notice of Privacy Practices
  6. Notice of Privacy Practices Booklet
  7. Language Assistance Services
  8. Nondiscrimination Notice
  9. No Surprise Act – Good Faith Estimate
  10. Complaint Information
The Bloomfield Hills Surgical Center Mission

Provide a comprehensive quality of care approach for all individuals (regardless of race, color, religion or creed) for non-emergency healthcare services administered to patients who remain in the facility for less than 24 hours.

 

Contact Details

359 Enterprise Ct Bloomfield Hills, MI 48302

(248) 220-7505

info@BloomfieldHillsSurgicalCenter.com

© Bloomfield Hills Surgical Center