Patient Registration Forms
Anne Arundel Gastroenterology Associates welcomes you to our practice. Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below. Completing the forms prior to your visit will help speed up the new patient registration process.
Please be sure to bring these forms with you to your first visit, along with any diagnostic films or other test results that may have been ordered by another physician, and a list of any current medications you are taking.
Before Your Visit:
- Patient Bill of Rights and Responsibilities
- Authorization for the Use and/or Disclosure of Protected Health Information
- Bestgate Anesthesia Patient Notice
- Know Your Potential Out-of-Pocket Costs – Colonoscopy Procedure
- Authorization for Disclosure of Medical Records
Policies
- Billing Information and Payment Policy
- Notice of Privacy Practices for CRISP Participation
- Notice of Privacy Policy
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.
