For Patients

Welcome to our office and thank you for choosing our practice for your health needs. To make
your appointment with us more pleasurable and to allow you less waiting time, you will find below, all the proper registration and medical history forms for your visit for each location.

At your convenience, kindly answer all the questions on the registration forms and sign each page.
On the medical history forms, only do page one (1), answering each item as best you can. Don’t forget to
indicate your name and date of birth on top of the medical history form.

Please bring in all completed paperwork to your appointment with your insurance card and any
required referrals from your insurance plan. Courtesy reminder: most primary Doctors need 72 hours
for any referral requests.

Important Note: If your doctor is referring you for a sick visit and you have had prior testing done, make sure you bring those results with you to your visit with us.

Thank you in advance for your cooperation, and for choosing us! Please feel free to call our office
with any questions or concerns you may have. We look forward to seeing you!

About Your Visit

Please bring the following with you to your appointment. For your convenience, you can download our forms and fill them out prior to coming in for your appointment.

  • Health Insurance Card/Information
  • Your Photo ID
  • A friend or family member, if needed, to take notes/help with questions
  • A list of all medications you are taking
  • A list of your questions /concerns
  • Copies of records or tests from doctors related to your visit with us.
  • Completed FORMS below:

Downloadable Patient Packs by Location

Please download, Print and complete prior to your scheduled appointment:

Registration Pack
H&P Form

miscellaneous Patient Forms

Medical Records Release Form - Consent to Release Medical Information to spouse, relative or friends
Medical Records Release For Doctors and Hospitals Form
Pharmacy Information Form
Universal Medication Form
Insurance and Office Policy Form

Patient Education Brochures

Speak-up Brochure - General Information
Speak-up Brochure - Help Avoid Mistakes In Your Medicine

Business Hours:

Staff is available Monday - Friday: 9:00am to 4:30pm

Procedure Preparation Instructions ( PDF downloads)

Stop Colon Cancer Now!

The Affordable Care Act and Colonoscopy

Stop Colon Cancer Now


Colonoscopy For Dummies

Colonoscopy for Dummies
Download FREE at
www.ColonoscopyForDummies.com

Additional Information