Patient Information

Our Office Policies

Our office is conveniently located at 601 Hamburg Turnpike, Suite 204, Wayne, NJ 07470. Our friendly and efficient Front Office Staff will assist you to arrange an appointment that is most convenient. To schedule an appointment please call us at (862)248-0668. Our fax number is 862-248-0669.



Mission Statement

Dr. Bandola and the team at North Jersey Interventional Spine Center, LLC strive to help each and every patient with their painful condition via a multimodal approach in a caring, compassionate, and professional atmosphere emphasizing interventional and non-opioid strategies.
 


Billing

The North Jersey Interventional Spine Center accepts cash and personal checks as well as the following credit cards:

  •  
  • Visa
  • MasterCard
  • American Express
  • Personal Check
  •  
  • Visa
  • MasterCard
  • American Express
  • Personal Check
  •  
  • Visa
  • MasterCard
  • American Express
  • Personal Check
  •  
  • Visa
  • MasterCard
  • American Express
  • Personal Check

All co-payments and deductibles are due at the time of service. This includes payment for any surgical procedures, which is usually taken care of in advance. We accept cash, check, and Visa, MasterCard,  and American Express credit cards.

Appointments/Cancellations

With the exception of serious emergencies, it is expected that you keep all of your appointments. If you need to reschedule an appointment we require 24 hours notice. In such a case, please call our office and arrange for a make-up appointment with one of our patient care coordinators.

  

Appointment Arrival

Patients are expected to arrive on time for their scheduled appointments. New patients should arrive 20 minutes early for their appointment to complete the required initial paperwork. Patients are expected to bring with them all necessary referrals, imaging, laboratory results, medication lists, and prior medical records. Failure to do so may result in appointment rescheduling and delay in treatment.


Delays/Cancellations

Please notify the office by phone if you are running late. Quite often patients can be accommodated. Patients who fail to notify the office and arrive more than 15 minutes after their scheduled appointment may be asked to reschedule their visit.We require at least 24 hours prior notice for all cancellations.Your account will assessed a $50 fee for missing a scheduled appointment without prior notice.



Emergencies

Our office provides on-call service for emergencies. Call 862-248-0668 so that the physician on call can be contacted.

Emergency after-hours coverage is provided by one of the physicians. The On-Call doctor can be reached by dialing the main number: (862)248-0668.  In the event of a true medical emergency, please call 911 or seek care at the nearest Emergency Department.

Patient Forms

The North Jersey Interventional Spine Center provides our patients with office forms for your convenience. We recommend you print and fill these forms prior to your appointment to save time.


Patient demographics 

 Patient Initial Evaluation

HIPPA summary 

NJISC opioid policy 

ROI AOB Consent form

Financial policies 

 

 

 

Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here.

 

 

 


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Patient Initial Evaluation


Patient Initial Evaluation