Patient Center

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

Forms, Documents & More

Our office strives to provide support services in an efficient and patient focused manner, we understand your time is important and work 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 clinic appointment? 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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Notice of
Financial Policy
View or Print PDF
Patient Medical
History Form
View or Print PDF
Notice of Patient
Rights & Responsibilities
View or Print PDF
Notice of
Privacy Practices
View or Print PDF

Endoscopy Center Information

Has your physician ordered 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 determined by your ordering physician, our patients do have the right to request a specific location. Please be aware the physician's determine the most appropriate place of service for their patients, and some restrictions based on medical history and insurance coverage may limit the locations available to you. Please reference the information below to see where our physicians perform procedures, access directions, and more. If you have additional questions regarding your procedure, please contact our Care Coordinators at 678-696-8966.
Procedure Center
Locations & Directions
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Procedure Center
Financial Information
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Notice of
Non-Discrimination
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Notice of
Financial Interest
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Notice of Driver &
Cancellation Policy
View or Print PDF

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.
Colonoscopy
Preparation Form
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Dr. Clark Colonoscopy
Preparation Form
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Flexible Sigmoidoscopy
Preparation Form
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Upper Endoscopy
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 online payment center. 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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Procedure Financial
Information
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Office Payment
Agreement Form
View or Print PDF
Endoscopy Center
Payment Agreement Form
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Online Payment
Center
Click Here
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 January 2019