PATIENT CENTER

PATIENT CENTER

For your convenience, Gastroenterology Associates of Gainesville, P.C. is please to provide patient information and forms online.

FORMS, DOCUMENTS, AND MORE

Our office staff strives to offer support services in an efficient and patient focused manner, we understand your time is important and strive to make your experience with us as easy and stress-free as possible. Here you will find our most commonly used forms, and other important information.

PATIENT FORMS

Have an upcoming appointment? If you are a new patient please complete the following forms prior to your appointment: Patient Registration, Financial Policy, and Patient Medical History. On the date of the appointment you will need to provide our office with a valid photo identification, insurance card(s), a list of current medications, and insurance co-payment if applicable.

 

PATIENT REGISTRATION FORM 
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FINANCIAL
OBLIGATIONS
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PATIENT MEDICAL
HISTORY FORM
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RIGHTS & RESPONSIBILITES
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NOTICE OF PRIVACY PRACTICES
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ENDOSCOPY CENTER INFORMATION

Has your physician order you a procedure? Our providers are credentialed to perform procedures at several locations, including two privately owned Ambulatory Surgical Centers. While the location of your procedure is suggested by your ordering physician, our patients do have the right to request a specific location. Please be aware the physicians suggest the most appropriate place of service for their patients, and some restrictions based on health and insurance may limit the locations available to you. Please reference the information below to see where our physicians perform procedures, directions, and more. If you have additional questions regarding your procedure location, please contact our Care Coordinators at 678-696-8966.  
PROCEDURE CENTER LOCATIONS
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PROCEDURE CENTER DIRECTIONS
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NOTICE OF NON-DISCRIMINATION
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NOTICE OF ENDOSCOPY CENTER OWNERSHIP
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ENDOSCOPY CENTER DRIVER & CANCELLATION POLICY
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PROCEDURE INFORMATION

Have an upcoming procedure? The preparation process is a vital step to a successful procedure, please review the associated preparation form for your upcoming procedure type. If you are unsure about the preparation instructions, insurance coverage, or procedure appointment date and time, please contact our Care Coordinators at 678-696-8966 they will be happy to assist you.
COLON PREPARATION FORMS
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EGD PREPARATION FORM
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FLEXIBLE SIGMOIDOSCOPY PREPARATION FORM
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ERCP PREPARATION FORM 
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SMALL BOWEL CAPSULE ENDOSCOPY PREPARATION FORM
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BILLING INFORMATION

 Have a question about an outstanding balance? In addition to our highly qualified physicians, our support staff works to make your experience a pleasant one. Please reference the information below to answer general questions about insurance and self pay rates, gain access to payment agreement forms, and pay outstanding balances via your patient portal. If you have additional questions about an outstanding balance, insurance processing, or would like to make a payment over the phone please contact our billing department at 678-997-2100.
INSURANCE & SELF PAY INFORMATION
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IMPORTANT PROCEDURE FINANCIAL INFORMATION
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OFFICE PAYMENT AGREEMENT FORM
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ENDOSCOPY CENTERS PAYMENT AGREEMENT FORM
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PAY OUTSTANDING BILL VIA PATIENT PORTAL
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If you have additional questions, please contact us at 770-536-8109 our associates will be happy to assist you.

    

   Gastroenterology Associates Pathology Department 
   Our compliance with the National Patient Safety Goals
   was validated by the Joint Commission in March 2013