Patient Forms
At Digestive Medicine Associates, your time is as valuable to us as it is to you. That’s why we provide online access to a variety of forms that patients may complete before their visit. The following documents will help us expedite the check-in process for your appointment. Please take a moment to download and print the appropriate form(s).
For your convenience, our patient forms are located below. Please download, print and complete the following forms so we can expedite your first visit:
- Medical History Form
- Patient Financial Consent(English/Spanish)
- Patient Information (English PDF)
- Patient Information (English Online)
- Patient Information (Spanish PDF)
- Patient Information (Spanish Online)
- Notice of Privacy Practices (English)
- Notice of Privacy Practices (Spanish)
- Text and E-mail Consent(English/Spanish)
- Medical Records Authorization form (English PDF)
- Medical Records Authorization form (English Online)
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.
Insurance and Billing
Please contact our office to verify acceptance of your insurance plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure. We are happy to file insurance for your reimbursement as long as you are free to choose your own gastroenterologist.
Payment Options
Please see our Financial Coordinator for details.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.