Center for Digestive Health
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Forms

General Forms & Information

New Patient Paperwork
Patient History
General Consent of Treatment Form
Procedure Consent Form
Notice of Privacy
HIPAA Authorization for Disclosure of Protected Health Information
Medical Record Release Form Patient Authorization for Disclosure
Patient Rights
Office Policy

Financial Forms

Troy Gastro accepts most insurance plans.To verify whether we take your insurance plan, please call our billing department at 586-726-8423.

Practice Financial Policy
Infusion Centers of Michigan Financial Policy

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