Patient Forms

Charleston Gastroenterology Center
is the first and the largest independent ambulatory endoscopy center and practice in Charleston, dedicated to gastrointestinal diagnosis and treatment.

With Four locations, in the Charleston area, we provide the highest possible level of care to patients from as far away as Beaufort and Georgetown. We strive to offer our patients a spacious, relaxing, and pleasant environment in which to manage their gastrointestinal health.




 

New Patient Form Package - Download Here
Medical History Form
HIPAA Consent Form
HIPAA privacy Policy
Financial Policy

Or if you know which form you need choose below and print it out to bring with you all ready completed.




Patient Forms


Anesthesia Patient Letter
Information for those who will receive anesthesia as part of their treatment.
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Authorization to Release Records
Allows you to authorize the release of your records and/or obtain your medical records.
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CEC HIPAA Privacy Policy
Describes how information about you may be used and disclosed and how you can get access to this information.
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CGS HIPAA Privacy Policy
Describes how information about you may be used and disclosed and how you can get access to this information.
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Financial Information Form
Provides information so that you understand the financial aspects of your treatment.
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Financial Policy
Charleston Gastroenterology Center financial information.
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HIPAA Consent Form
Provides your authorizations and releases.
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Medical History Form
Enables us to understand your medical status before providing further medical care.
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Patient Information Form
Provides CGC with your personal and insurance information.
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Patient Rights and Responsibilities
Your rights regarding your treatment at CGC.
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