If you have any questions regarding the Patient Forms feel free to contact our main office at 732-702-1039.
Patient Registration Form
Consent for Use and Disclosure of Protected Health Information
Patient Financial Responsibility Statement
Card on File Agreement
Notice of Privacy Practices
HIPAA Consent
Office Policies
Medical Procedure Billing Form
Medical Records Release Form
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 Choose Your Procedure Below to Open/Download
Our office participates in many insurance plans. If your insurance plan is not listed, please call your insurance company to confirm participation.
For additional information regarding out-of-network benefits, plan-specific information, or other billing and insurance inquiries, the following contact will gladly assist you.
The main number for billing inquiries for Allied Digestive Health is: (732) 702-1039
For Your Visit
Englewood Office
P: 201-569-7044
420 Grand Avenue,
Suite 101,
Englewood, NJ 07631
Mon: 8:00AM – 7:00PM
Tues: 8:00AM – 7:00PM
Wed: 8:00AM – 6:00PM
Thurs: 8:00AM – 7:00PM
Fri: 8:00AM – 5:00PM
Sat & Sun: Closed
Englewood Cliffs Office (140 Sylvan Ave.)
P: 201-945-6564
140 Sylvan Avenue, Suite 101A,
Englewood Cliffs, NJ 07632
Englewood Cliffs Office (270 Sylvan Ave.)
P: 201-568-6222
270 Sylvan Ave
Suite 1160,
Englewood Cliffs, NJ 07632
Mon: 8:00AM – 4:00PM
Tues: 8:00AM – 4:00PM
Wed: 8:00AM – 4:00PM
Thurs: 8:00AM – 4:00PM
Fri: 8:00AM – 4:00PM
Sat & Sun: Closed
McDonald Ave
P: 718-833-4200
446 McDonald Ave
Brooklyn, NY 11218-2212
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According to the American Cancer Society, for average-risk individuals, screening for colorectal cancer is generally recommended to begin at age 45. However, if you have a family history of colorectal cancer, inflammatory bowel disease (IBD), or other risk factors, your doctor may recommend starting before age 45.
We encourage you to discuss your screening options with your physician. They can help you determine the most appropriate screening method based on your individual risk factors and preferences.