Thursday, February 23, 2012
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For Patients Your First Visit

About Your First Visit

In order to help your experience with us be as comfortable as possible, here is some information about your first visit.

Depending on your situation, you doctor will ask you a series of questions about your health history, symptoms and other related questions. Then, you will undergo a physical examination that will assist the physician is determining more about your condition. After the physical examination, the doctor will speak with you and give you some recommendations for treatment.

Please bring the following with you to your appointment. For your convenience, you can download our forms and fill them out prior to coming in for your appointment.

  • Health Insurance Card/Information
  • Your Photo ID
  • A friend or family member, if needed, to take notes/help with questions
  • A list of all medications you are taking
  • A list of your questions /concerns
  • Copies of records from doctors related to your visit with us.
  • Completed FORMS below

Appointment Hours: Monday through Friday 8am - 5pm (evening hours T,W, TH until 7pm)

Important Notice to our Patients

At Englewood Endoscopic Associates, our mission is to provide our patients high quality and compassionate care. In order to improve availability for our patients, an appointment/cancellation policy is being implemented beginning January 1, 2011. This policy applies to both office visits and endoscopic procedures that are cancelled within 24 hours of the scheduled visit.

Cancellation of an Appointment
If it is necessary for you to cancel your scheduled appointment, we require that you call the office at least one (1) working day in advance. Appointments are in high demand, and early cancellation will give another person the possibility to have access to timely care.

How to Cancel Your Appointment
To cancel an appointment, please call 201-569-7044. You may leave a detailed message on the voice mail if you are unable to speak directly with a receptionist. Cancellations via email cannot be accepted at this time.

Late Cancellations or No Show
Patients failing to cancel their appointment as indicated above (at least 24 hrs in advance) will be billed an administrative fee: Office visit: $25; Endoscopic procedure: $100
All fees must be paid in full prior to the scheduling of future appointments.

Thank you for your cooperation

Patient Forms

If you prefer to download, print and complete the new patient forms, please click the links below:

Release of Information
Consent for Release of Information
Procedure Financial Policy
Patient health History Information Form