FORMS
PATIENT CENTER
PATIENT CENTER
Forms
Please Click the Clipboard to Download Forms
Instructions for Procedure
Instructions for Procedure
Follow the instructions on this document prior to the scheduled procedure.
Medication List Form
Medication List Form
An updated medication list is very important. Print this form to bring with you with the details about the medications you are taking.
Insurances Accepted
We accept the following insurance plans:
Medicare
Masshealth/MedicaidBlue Cross Blue Shield
Tufts
Harvard Pilgrim Health Care
United Health
Commonwealth Care Alliance
Cigna
Tufts Public Plans (formally Network Health)
Boston Medical Center Health Plan
Aetna (Patient must check with their Plan. Dr Is NOT in network with All Aetna Plans)
Some insurance plans require a referral or prior authorization from your Primary Care team PRIOR to your visit.
If you are unsure of the referral requirements, please don’t hesitate to contact our office.
Cancellation Policy
We require 48 hours cancellation if you are unable to make your scheduled appointment. Click
here for more details.
Parking
Self-Parking for office visits is easily accessible in the parking garage at St Elisabeth’s medical center. Valet is also available at the hospital for patients. Click
here for more information.
Interested in our GI services? We’re here to help.
Interested in our GI services? We’re here to help.
Let us know how we can help you and we will do our best to provide you the best care.
