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Fellowship_Surgical_Center
  • About Us
    • About Us
    • Contact and Directions
    • What is an Ambulatory Surgery Center?
  • Procedures & Specialties
  • Physicians
  • Patient Resources
      Preparing for Surgery
      • Transparency in Healthcare
      • Before Surgery Checklist
      • Patient Forms
      • Pre-Registration
      • Children & Special Needs Adults
      • Accepted Insurance Plans
      • FAQ
      During Your Stay
      • Check-in & Admission
      • FAQ
      After Your Surgery
      • Pay Bill
      • Post Operation Pain Relief
      • Recovery & Reminders
      • Billing FAQ
      How to Pre‑Register
856-316-4600
Get Directions
Fellowship_Surgical_Center
856-316-4600
Fellowship_Surgical_Center
206-382-1021
  • About Us
    • About Us
    • Contact and Directions
    • What is an Ambulatory Surgery Center?
  • Procedures & Specialties
  • Physicians
  • Patient Resources
      Preparing for Surgery
      • Transparency in Healthcare
      • Before Surgery Checklist
      • Patient Forms
      • Pre-Registration
      • Children & Special Needs Adults
      • Accepted Insurance Plans
      • FAQ
      During Your Stay
      • Check-in & Admission
      • FAQ
      After Your Surgery
      • Pay Bill
      • Post Operation Pain Relief
      • Recovery & Reminders
      • Billing FAQ
      How to Pre‑Register
Get Directions

Patient Forms

  1. Home
  2. Preparing for Surgery
  3. Patient Forms

Admission Form

PDF | 116KB
Download

Discharge Instructions

PDF | 141KB
Download

Facility Consent Form

PDF | 133KB
Download

Utilization Management Consent Form

PDF | 120KB
Download

ERISA Authorized Representative Form

PDF | 12KB
Download

Patient Billing Agreement

PDF | 111KB
Download
Fellowship Surgical Center
715 A Fellowship Road
Mount Laurel, NJ 08054
Phone: 856-316-4600
  • SCA Health
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© 2026 Fellowship Surgical Center, a physician-owned facility.