Resources for Patients - Gastroenterology Group of Northern New Jersey

Patient Forms

If you have any questions regarding the Patient Forms feel free to contact our main office at 732-702-1039.

New Patient Registration Packet
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

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 with you to your appointment.
Ensure that our office has received a referral, if necessary, in advance of your appointment.
It is important that you arrive at your appointment early and allow ample time for the check-in process. We cannot predict how long it will take each individual to complete the process; therefore, please arrive according to the suggestions below:
New patients and those not seen in over 1 year – 30 minutes
Existing patients – 15 minutes
Procedures – 30

Preparation Instructions

Please Choose Your Procedure Below to Open/Download

Englewood Cliffs Office

Englewood Office

Insurance & Billing

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

View Our List Of Accepted Providers

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

About

Our GI Care

For Your Visit

Englewood Office
420 Grand Avenue,
Suite 101,
Englewood, NJ 07631
P: 201-569-7044

Mon – 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.)
140 Sylvan Avenue, Suite 101A,
Englewood Cliffs, NJ 07632
P: 201-945-6564

Mon – 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 (270 Sylvan Ave.)
P: 201-568-6222
270 Sylvan Ave
Suite 1160,
Englewood Cliffs, NJ 07632

Mon – Fri: 8:00AM – 4:00PM
Sat & Sun: Closed

Edgewater
P: 201-945-6564
235 Old River Road
Edgewater, 07020

Mon – Tues: Closed
Wed: 1:30PM – 3:30PM
Thurs – Sun: Closed

Patient Forms

First Visit

Please Bring The Following Items With You To Your Visit

Preparation Instructions

Englewood Cliffs Office

Englewood Office

Insurance & Billing

View Our List Of Accepted Providers

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