New Patients
Thank you for becoming a patient of Gastro Health. Prior to your first appointment, please fill out these new patient forms and bring them with you to your first visit. Arrive 30 minutes prior to your scheduled time to ensure all paperwork is complete before your appointment. Additionally, please bring with you a copy of your photo ID, insurance card(s) including Medicare and DSHS cards, a referral issued by your primary care physician (if required by your insurance), a list of medications you’re taking and any test or medical results that pertain to your visit.
If your insurance plan has an office visit copay, this amount will be required at the time of your visit. We accept cash, checks, Visa, American Express, Discover Card, and MasterCard.
We require a minimum of two business days’ notice for appointment changes. A missed appointment fee ($75-200) may be charged for appointments that are missed or cancelled without this notice.
Safety
At Gastro Health Washington, formerly Puget Sound Gastroenterology, we take the safety of our patients and staff seriously. Each of our site locations adheres to OSHA (Occupational Safety & Health Administration) Act standards and Washington state laws. Firearms, knives or weapons of any sort are not permitted on our premises. Smoking is not allowed within any of our buildings; a receptionist can direct you to a designated outdoor smoking area that is at least 25 feet from any windows or doorways. We also ask that during your visit you please refrain from cell phone use and put the ringer on silent or vibrate as a courtesy to others. We appreciate your cooperation and help to keep our practice a safe environment for all who visit.
We look forward to seeing you!
New Patient Forms
- Patient Registration
- Patient Interview Form (To fill out your questionnaire, please log in to the patient portal and click on the questionnaire tab and submit each page.)
- Informed Consent and Notice of Privacy Practice
- Financial Policy
- Authorization to Disclose PHI (Release of Information)
- Advanced Directive Policy
- Endoscopy Information Brochure
- Procedure Billing: What you Need to Know
- Notice of Privacy Practices
Procedure Preparation
Patients should read Prep FAQ’s and Instructions prior to a procedure.
Colonoscopy Prep Forms
Please follow the specific prep your provider has prescribed for you.
Forms
- Miralax Prep Instructions
- Clenpiq Prep Instructions
- PEG 3350 Prep Instructions
- PLENVU Prep Instructions
- SUPREP Prep Instructions
- SUTAB Prep Instructions
- MoviPrep Prep Instructions
Driver/Escort Information
- From the time the patient is taken back for their procedure until the time they are ready to go is approximately 1½ to 2 hours. We prefer that you do not leave, but if it is unavoidable, let the receptionist know that you are leaving. Leave a good phone number you can be reached at and make sure you check for voice messages while you are gone. Please check back in with the receptionist when you return. You will have 30 minutes to return to the clinic when you receive a call from us.
- If the procedure is scheduled for 3:30 p.m. or later, we ask that you stay at the facility.
- If you are concerned with the wait time being longer than what you were told, please speak with the receptionist.
- If the doctor is running behind, we will keep you updated as best we can.
- The person that you are escorting home will have received sedation and they will be drowsy, forgetful and even fatigued. Use your best judgment on what you do on the way home. It might be best to just take them home to eat and rest for the remainder of the day. They should not return to work.