Forms and Instructions

New Patients

Upon scheduling an appointment, you will receive an email to confirm your appointment and securely submit your registration information electronically. If you are unable to complete your registration electronically prior to your visit, please arrive at least 30 minutes prior to your appointment to utilize our tablet check in system.

Please remember to bring your insurance card, copay and referral if applicable.

Appointment and Procedure Cancellation and No Show Policy

Click here to read the full policy
Patients who cancel or reschedule an appointment with less than 24 hours notice will be assessed a fee of $50.
*For Monday appointments, cancellations/rescheduling must be done by 12pm the preceding Friday.

Patients who cancel or reschedule a procedure with less than 48 hour notice will be assessed a fee of $100.
*For Monday procedures, cancellations/rescheduling must be done by 12pm the preceding Thursday.

If you are unable to call the office, you may use the form under Contact Us to cancel or reschedule your appointment or procedure.  You must still adhere to the time frames above.

Direct Access Screening Colonoscopy

For the convenience of our patients, we offer Direct Access Screening for Colon Cancer. This allows patients who qualify to bypass a pre-procedure office visit and make just one visit to our center for their procedure.  Please review instructions and complete the following forms.

Direct Access Screening Colonoscopy Packet

Colonoscopy Preparation Instructions

Release Medical Records

To print the forms above, you will need Adobe Reader.  You may download Adobe Reader for free at www.adobe.com.