Please click on the link below and print
the registration packet.
Fill it out completely and bring it
with you 30 minutes before your appointment.
REGISTRATION PACKET
PLEASE FILL OUT
PAPERWORK AND BRING TO SCHEDULED APPOINTMENT.
BRING INSURANCE CARDS & PHOTO ID TO BE COPIED FOR YOUR CHART.
BRING COPAY
IF YOU HAVE ONE TO BE PAID AT TIME OF VISIT
(IT WILL BE FOR A SPECIALTY CLINIC).
IF YOU DO NOT HAVE YOUR COPAY, INSURANCE CARD, OR PHOTO ID AT THE
TIME OF YOUR VISIT WE WILL HAVE TO RESCHEDULE YOUR APPOINTMENT.
IF YOU ARE 15 MINUTES BEYOND YOUR ARRIVAL TIME WE WILL HAVE TO RESCHEDULE YOUR
APPOINTMENT.
Office Hours and Appointments
The office is open Monday through Friday from 8:00 a.m. to
4:30 p.m. Our physicians are available for emergencies 24 hours a day; 7 days a week.
Other Languages Spoken
- Spanish
- Interpretation services for other languages can be arranged.
What to Bring to your Appointment
For your visit, please bring your insurance card(s), photo ID
and a list of your current medications. Due to new privacy laws (HIPAA) we will need the insurance policy holder's social
security number in order to submit the claim.
If your insurance plan requires a written referral form please
bring the form to your appointment and give it to our receptionist when you arrive. If you are unsure as to whether or not
you need a referral form, please call the member services number on your insurance card.
Co-payments and balances are collected at the time of service.
We accept cash, personal checks or VISA/Mastercard & AMEX.
New Patients
Please arrive about 30 minutes early for your first visit.
It is necessary for you to complete both demographic and medical history forms prior to seeing your doctor. If you have lab
work or recent x-rays relevant to your visit, please bring them as well.
At Digestive and Liver Disease Consultants,
P.C. your time and convenience are important to us. Therefore we are happy to provide you with the simplicity of pre-registering
online for an upcoming office visit.
By opening and printing the forms at the top of this page ahead of time
you will save time upon your arrival to our office. Please bring the completed forms with you at the time of your appointment.
When you have Questions
We realize you may have questions in between scheduled visits.
Our office staff will relay questions to our nurses and physicians, as needed, and get back with you promptly. During office
hours, our registered nurses will forward information concerning medical emergencies to our physicians. After hours and on
weekends, the "on-call" physician can be reached through the answering service.
Test Results
We will call you if your test results indicate something needs
to be addressed immediately. If you have not heard from our office within three weeks, please call us directly to obtain your
results.
Payment Information
Digestive and Liver Disease Consultants, P.C. participates
in most major health plans including:
- Medicare
- Blue Cross/Blue Shield
- United Healthcare
- Coventry
- John Deere
- Many other miscellaneous plans
Our acceptance of a specific health
plan is subject to change.
Cancellations
If you are unable to keep an appointment, please give us at least 24 hours notice.