Patient Forms, Map and Directions to Stamford, CT Office

If you're planning your first visit to Gastroenterology/Hepatology Associates, we look forward to meeting you. To help prepare you, you'll find all the information you need about our practice on this page, including:

• Directions and maps
• Mission Statement

Mission Statement

We provide compassionate and comprehensive patient care. Our goal is to maintain health through disease prevention and, when necessary, to intervene with appropriate therapy.

Patient Forms

• Patient Demographic Form
• Notice of Privacy Acknowledgement
• Credit Card Authorization
• Contacting Your Insurance Company

Colonoscopy Preparations

Please print and fill out these forms so we can expedite your first visit:

• Prepopik Day-Before Bowel Prep
• Prepopik Split-Dose Bowel Prep
• Dulcolax Pill Bowel Prep
• Magnesium Citrate Bowel Prep
• Miralax Bowel Prep
• Spanish Miralax Bowel Prep
• Osmoprep Bowel Prep

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Insurance and Billing

Please contact our office to verify acceptance of your insurance plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure. We are happy to file insurance for your reimbursement as long as you are free to choose your own gastroenterologist.

Our company uses Trinity Medical Billing Services for all our financial processing. Any questions regarding procedures, coverage and balances, you can reach them at (914) 358 5703 .

These are the major medical insurances Gastroenterology Hepatology participates.

• 1199 National Benefit Fund
• AARP Medicare Complete
• Aetna
• Anthem (Blue Cross Blue Shield)
• CIgna
• Daniel H Cook
• Connecticare Commercial
• Connecticare Medicare
• GHI - Emblem
• Harvard Pilgrim
• Humana
• Magna Care (Office visits ONLY)
• Medicare
• Medicaid (Not accepting new patients at this time)
• Meritain Health
• Multiplan
• Oxford
• Palmetto GBA - Medicare Railroad
• The Empire Plan (UHC)
• Tri Care
• United Healthcare
• United Healthcare Medicare
• Wellcare

Payment Options

All major credit cards are accepted.

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

Patient Links

Information on G.I. Diseases A-Z
A-Z List from the National Digestive Diseases Information Clearinghouse (NDDIC)

Extra Information on Specific G.I. Disorders
Celiac
Crohns
Crohns/ Colitis Foundation
Liver Disease: Hep C/ Hep B/ Fatty Liver/Liver Cancer
Anorectal Disease And Other Colon Disorders; Anal Pain, Anal Fissures, Hemorrhoids, Etc
Weight Control Information
Comprehensive List Of Organizations For Many  Gi Diseases And Liver Diseases
Spanish Resources

Driving Directions