Resources for Patients - Gastroenterologists of Ocean County

Patient Forms

If you have any questions regarding the Patient Forms feel free to contact our main office at 732-349-4422.

Acknowledgment of Info Sheet
Authorization to Release Healthcare Information
Card on File Agreement
Consent for Use and Disclosure of Protected Health Information (PHI)
Facility Assignment of Benefits
In-Network Disclosure
Medical Records Release
Notice of Privacy Practices
Office Policies
Patient Demographics Sheet
Patient Financial Responsibility Statement
Patient Medication Sheet
Patient Rights Summary Sheet
Patient Registration Form
Patient HIPAA Consent Form

Anesthesia Information

Anesthesia Information
Patient Information on Anesthesia Services
Sample Copy of Anesthesia Consent
Sample Copies of Informed Consents for Endoscopy Procedure and Anesthesia

First Visit

Your first visit to our office will be in the form of a consultation. The physician will meet with you to discuss your gastrointestinal issues, medical and social history, and to perform a physical examination. They will then discuss with you a treatment plan and course of action.

Please Bring The Following Items With You To Your Visit

Most current insurance card(s)
Driver’s license or photo identification
Co-payment in the form of cash, check or credit card
A complete listing of your medication, including dosages
If you have seen a Gastroenterologist in the past and/or have had prior diagnostic testing done (CT scan, x-ray, lab work, etc.), please have those records forwarded to us in advance or bring them with you to your appointment.
Ensure that our office has received a referral, if necessary, in advance of your appointment.

Preparation Instructions

Colonoscopy
General Colonoscopy Instructions
1A-Miralax Dulcolax Prep clear liq
1B-Miralax Dulcolax Split Prep clear liq
2A-Citrate Miralax Dulcolax clear liq
2B-Citrate miralax dulco Split 2021
3-Extended double Citrate miralax dulco Splitclear liq
4A-OSMO prepclear liq
4B-OSMO Split prep clear liq
5-2 DAYCitrate Miralax Dulcolax Prepclear liq
6-2 DAY miralax Dulcolax Prepclear liq
7A-Citrate Dulcolax 2021 clear liq
7B-Citrate Dulcolax split clear liq
8A-Citrate Miralax Prepclear liq
8B-Citrate miralax splitclear liq

Endoscopy

Instructions for EGD

Insurance & Billing

Our Endoscopy Centers strive to give the best patient care possible, from start to finish. This includes having our patients informed so they do not incur unnecessary costs. We know how complex the healthcare system has become and would like to make things a little bit easier.

It is also important to contact your insurance company because there are so many different plans that have different levels of coverage. To find out what out-of-pocket costs you may be responsible for you should contact your specific plan. The facility might be in-network but there could be a deductible, co-payment, or co-insurance that you are not aware of.

View Our List Of Participating Insurances:

Medicare
Horizon Blue Cross and Blue Shield
Aetna
Oxford
Cigna
US Healthcare
United Healthcare
and many others.

Please check with your insurance company to see whether we are listed as a participating provider. For all billing questions please call our office.

FAQs

What is a Colonoscopy?
What is an Upper Endoscopy?

Prepare For Your Visit

Review Available Resources

Explore patient forms, preparation instructions for your upcoming procedure, FAQs, and insurance/billing information.

Book Appointment

Schedule Online

Whether you are a new or existing patient, you can make an appointment online in just a few steps.