patient forms

Patient Info

Payment Information

  • Co-payments and balances are collected at the time of service.
  • We accept cash and all major credit cards. We accept CareCredit.
  • All co-pays and outstanding balances are due at the time of visit.

Insurance Information

Atlantic Gastroenterology participates with most major insurance plans.
In-Network Insurances

PLEASE, GIVE THE OFFICE A CALL TO VERIFY YOUR INSURANCE POLICY BEFORE THE VISIT.

What to Bring to Your Appointment

Please bring:

  • your insurance card(s),
  • photo ID,
  • list of current medications, and any recent laboratory or imaging testing done previously that may help at this visit.

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

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

Call Atlantic Gastroenterology

New patients: 718 521-2840 Existing patients: 718 615-4001 EndoSlim Clinic: 1-877-SIZEOFF (1-877-749-3633)