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February 4, 2012
President's Message
Mission, Vision & Values
Team Behind South Nassau
Patient Registration
About Your Stay
Billing
Understanding Your Bill
Billing Requests & Questions
Participating Insurance Plans
Financial Assistance Program
Compliance Policies
Request Your Medical Records
The Hospitalist Program
Visitor's Information
Virtual Tour
Welcome to South Nassau
Dispute Charge
To dispute a charge because you are unhappy with the service provided, please provide all the information requested below:
Patient's First Name
Patient's Last Name
Social Security Number
Date of Birth
Date of Service
Telephone Number
Current Address
Please briefly explain why you are disputing the services provided.