© 2018 Alabama Colon & Gastro, PC.

1105 Eagletree Lane SE, Huntsville, AL 35801

Phone: (256) 261-2826 Fax: (256) 429-9246 

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Patient Forms

Please print and fill out these forms and bring them with you to your appointment

                    New Patient Packet

Individual Forms:

For returning patients, this form is needed every time your visit:

 

                    • Updated Medical Demographics

              OR

 • History and Physical

You will need to sign this records release at the facilities where the test(s) were performed or come into our office in advance to sign a records release and we will request the records: By completing this form, you agree to release the records.

​​Med Release Form

Telehealth Consent Form

RELATED LINKS

1105 Eagletree SE

Huntsville, AL 35801

 

 

Phone: (256) 261-2826

Fax: (256) 429-9246

Services Available

ERCP

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