Forms & Documents

Access all necessary forms in one place, giving yourself a kickstart towards the best possible care for your needs.

For patients and providers

Complete this form to connect your patient with our GI care team. Providing key details ensures a smooth transition and personalized care for your patient.

Patient referral form

View document (PDF)

This form outlines your privacy rights under HIPAA. By completing it, you authorize us to use and protect your health information as required by law.

HIPAA (English)

Referral form (PDF)

Este formulario describe sus derechos de privacidad bajo HIPAA. Al completarlo, usted autoriza el uso y la protección de su información de salud según lo exige la ley.

HIPAA (Español)

Ver documento (PDF)

Need help?
Call our office at (913) 535 - 0600 and we will help you through the process.

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