Patient Forms and Information
•All Patient Registration Forms Fillable - (English)
Gastroenterology Associates of S.W. Florida participates in Medicare and most major insurance plans. Our practice will file insurance claims on behalf of our patients; however, patients are responsible for deductibles, co-Insurance, co-payments and non-covered charges. If you have questions regarding billing or which insurance plans we currently participate in, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.
Please arrive 15-30 minutes early so that we can complete your initial paperwork. Also, please bring the following:
•Patient's insurance card
•Patient's Photo ID
•List of current prescriptions and/or over-the-counter medication, including dose and frequency
•Information about patient's medical & surgical history
•Recent test results, x-rays, or relevant records
Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients, and a copy is available upon request.
Our physicians are on staff at the following medical facilities:
We do not attend or admit patients at the following medical facilities; Only Consulting Privileges at:
Gastroenterology Associates of S.W. Florida, P.A.