GI
THE
GASTROENTEROLOGY
PRACTICE

Patient Resources

New Patient Forms

Download and complete these forms before your first visit to save time and ensure a smooth check-in process.

Save Time at Check-In

Print and complete these forms at home to expedite your check-in process. Please bring completed forms to your appointment along with your insurance card and photo ID.

Required Forms

New Patient Registration Form

Complete patient demographics, contact information, and emergency contacts.

Medical History Questionnaire

Detailed medical history including past conditions, surgeries, and current medications.

Insurance Information Form

Insurance details and authorization for billing purposes.

HIPAA Privacy Authorization

Authorization for use and disclosure of protected health information.

Consent for Treatment

Informed consent for examination, diagnostic procedures, and treatment.

Financial Policy Agreement

Agreement regarding payment terms and financial responsibilities.

Need Assistance?

If you have trouble downloading forms or need them mailed to you, please contact our office and we'll be happy to help.

Contact Us

What to Bring

  • 1
    Completed new patient forms
  • 2
    Insurance card (front and back)
  • 3
    Photo identification
  • 4
    List of current medications
  • 5
    Referral (if required)

Financial Resources