Patient forms

We know how busy you are. These forms are available for completion at your convenience.

Print these forms and complete them when you have time. Don’t forget to bring them to your next visit. If you are a current patient, we are always careful to update your information. If you are a new patient, there are a few additional forms to complete. Thank you.

Forms For Current Patients

Medical Records Release

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Forms for New Patients

GGR Financial Policy Form

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HIPAA Contact Form

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HIPPA Patient Consent Form

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New Patients: Intake Form

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RHIO Consent Form

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Forms for Healthcare Physicians

Physicians: GGR Referral Form

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Trusted External Resources

Knowledge is power. The more familiar you are with symptoms that match yours, common testing procedures, and treatment protocols, the easier it is to have a productive conversation with your doctor.

We have listed several credible resources on this page for your consideration and will continue to add to this list. Make a list of questions and bring them to your next doctor visit to get clarification.

American College of Gastroenterology

Professional organization founded in 1932 to advance the study and medical treatment of disorders of the gastrointestinal tract.

American Gastroenterological Association

A non-profit specialty medical society for physicians, researchers and educators whose primary practice, research and/or teaching involves the functions and disorders of the digestive system.

American Society for Gastrointestinal Endoscopy

An organization devoted to enhancing quality of patient care by fostering excellence in all aspects of gastrointestinal endoscopy.

Crohn’s and Colitis Foundation of America

Comprehensive information on Crohn’s disease and ulcerative colitis.

Crohn’s Disease Web Page

General information on Crohn’s disease created and maintained by a patient with the disorder.

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