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  • Patient information and forms

Since 2004, we have helped thousands of people with digestive and liver disorders. We have dedicated ourselves to actively participate in research activities to further advance the future of digestive healthcare. Not only do we strive to provide state-of-the-art treatment procedures, we are also constantly looking forward to find new ways to serve our patients better.

Appointments: Our staff is always ready to help with you scheduling, insurance or anything else you may need during your time with us. We will take extra care to listen to your concerns, answer all your questions and thoroughly explain your condition and treatment options. To schedule an appointment, please call us at 480.786.6655 or you can use our online Request an Appointment  form.

If at any time you are unable to keep your appointment, please notify us. We will be glad to reschedule your appointment at a more favorable time. We greatly appreciate your time and consideration and look forward to seeing you.

Patient Forms: If you have made your initial appointment, you can preregister by clicking on the links below to download our New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process.

New Patient (English)
New Patient (Spanish)

Medical Records Release:

Click on the link below to submit a medical records release authorization. Print, complete and fax form back to us to (480) 786-6996
Medical Records Release

Insurance: We accept most insurance plans. Please call us to verify whether or not we are participating with a particular insurance company.

Billing and Financial Responsibility: Please call our office if you have any questions regarding an invoice; we will be happy to assist you.

Hospital Affiliations:

Chandler Regional Hospital

Mercy Gilbert Medical Center

Helpful Links:

Pre- or Post-Op Instructions: please see Procedure Instructions

Enjoy the privacy, comfort and convenience of our comprehensive digestive healthcare. Call East Valley Gastroenterology & Hepatology Associates at 480.786.6655 or use our online form to schedule your consultation.

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