Referring Physicians

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.








Referring Physicians Forms


Anesthesia Patient Letter
Information for those who will receive anesthesia as part of their treatment.
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Appointment Request Form
For referring physicians only, this form enables you to schedule an appointment with CGC for your patient.
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Financial Information Form
Provides information so that your patient understand the financial aspects of his or her treatment.
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Financial Policy
Charleston Gastroenterology Center financial information.
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HIPAA Consent Form
Provides your patient's authorizations and releases.
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HIPAA Privacy Policy
Describes how information about your patient may be used and disclosed and how he or she can get access to this information.
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Medical History Form
Enables us to understand your patient's medical status before providing further medical care.
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Patient Information Form
Provides CGC with your Patient's personal and insurance information.
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Patient Rights and Responsibilities
Your patient's rights regarding your treatment at CGC.
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