Phone: 704-480-0008

Office Hours

Mon - Thur: 8am -5pm
Friday: 8am-12pm
Closed:12pm-1pm

Forms

Welcome to Cleveland Gastroenterology. Please read through the information below to prepare you for a successful first appointment. The more prepared you are for your appointment, the more satisfied you’ll be.  Please download, print and fill out the Registration form, Patient Authorization release, Medical History form and Medications form prior to your appointment. Doing this will help speed up our service to you and our other patients.

What you should bring to your first appointment:

  • Your current insurance card
  • A photo ID
  • Previous medical records
  • Recent x-rays, procedure reports, or other relevant medical information
  • Physician Referral forms when required to see a specialist
  • Your current medications, include both prescriptions and over-the counter

Please print and complete the following forms prior to your appointment.

Welcome Letter

Registration Information

Patient Authorization

Current Health/Medical History

Current Medications/Drug Allergies