Download these forms, print them out, fill them out and bring them with you to speed up your visit with us.
Office Visit Forms
New Patient Forms
Includes the EMR Patient Interview Form and the Patient Information Form
2017 EMR Patient Interview Form
Patient Information Form
Provides CGC with your personal and insurance information.
Charleston Gastroenterology Center financial information.
Authorization to Release Records
Allows you to authorize the release of your records and/or obtain your medical records.
Describes how information about you may be used and disclosed and how you can get access to this information.
Endoscopy Center Forms
Patient Rights and Responsibilities
Your rights regarding your treatment at CGC.
Financial Information Form
Provides information so that you understand the financial aspects of your treatment.
Anesthesia Patient Letter
Information for those who will receive anesthesia as part of their treatment.