Patient Forms
To help make your first visit as efficient and stress-free as possible, North Shore Gastroenterology provides convenient access to all required patient forms online. New and existing patients at our Westlake and Brooklyn, OH, offices can download, complete, and bring these forms to their appointment to streamline check-in and reduce time spent in the waiting room. Preparing these documents in advance also ensures our care team has the medical history and information needed to support your gastrointestinal care from the moment you arrive.
New Patient Forms
All new patients are required to complete the first three forms listed below. These files are available as PDFs and can be downloaded and printed at home. Please bring the completed forms with you to your first appointment, along with any recent imaging, diagnostic test results, or records from other providers.
- Office Policy (complete prior to arrival)
- Registration Form (complete prior to arrival)
- Patient History Form (complete prior to arrival)
Additional Forms
Depending on your visit, procedure, or insurance requirements, your provider may also ask you to complete one of the following forms:
- Endoscopy Consent Form
- Authorization To Disclose Health Information to Another Provider
- Authorization To Disclose Health Information Sent to North Shore Gastroenterology
- Advance Beneficiary Notice Form (Medicare patients only)
Returning or Established Patients
Established patients may update medical information or required forms directly through our secure patient portal. If you have questions about the portal or need assistance logging in, please call our office and a staff member will be happy to help.
Please note: depending on your internet connection, forms may take a few moments to load. If you are unable to view a form, you may need to install Adobe Acrobat Reader.
Patient Forms at North Shore Gastroenterology
If you need assistance with patient forms or preparing for your upcoming visit, contact North Shore Gastroenterology at (440) 808-1212 or request an appointment to speak with our team at either our Westlake or Brooklyn location.