Patient Forms

At GI Associates of Maryland, your time is as valuable to us as it is to you. That’s why we provide online access to a variety of forms that patients may complete before their visit. The following documents will help us expedite the check-in process for your appointment. Please take a moment to download and print the appropriate form(s).

NEW PATIENT FORMS

Please complete the following forms if you are a new patient at GI Associates of Maryland:

New Patient Welcome

Patient Interview

Patient Registration

Conditions of Registration/Financial Policies

HIPAA Authorization

HIPAA Patient Consent

HIPAA Privacy Acknowledgement

HIPAA Notice of Privacy Practices

Please review and complete the following form if you are transferring to GI Associates of Maryland.

Authorization for Release of Information

OTHER FORMS

No Show Notice

GI Associates of Maryland Patient Rights

Notice of Financial Interest

Red Flag Rules

Please contact us or call (301) 645-8035 if you have questions.