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Due to a recent recall on Magnesium Citrate, please do not use any colonoscopy preparations that include this product in the instructions. If your instructions suggest using magnesium citrate, please contact our office for further instructions.

North Shore Gastroenterology
  •  
    (440) 808-1212

  • Patient Portal 

  • Online Bill Pay 

  • Request an Appointment 

MENUMENU
  • About Us
  • Meet Our Team
    • Physicians
      • Mousab Tabbaa, MD
      • Iqbal Ahmed, MD, FACG
      • Rinjal Brahmbhatt, MD
      • James Harris, MD, FACG
      • Kimberly Harris, MD
      • Preeti Jhawar, DO
      • Mohamed S. Naem, MD
      • Michael Springer, MD
      • Robert Straub, MD
      • J. Owen Tully, MD
    • Advanced Practitioners
  • Conditions We Treat
  • Procedures
    • Colonoscopy
    • Colon Cancer Screening
    • Upper Endoscopy (EGD)
    • Breath Test
    • Barrx™ (Treatment of Barrett’s Esophagus)
    • Bravo™ (Treatment for Reflux)
    • Flexible Sigmoidoscopy
    • Anorectal Manometry
    • Medtronic Bowel Control Therapy
    • Dilation of Esophageal Strictures
    • Small-Bowel Capsule Endoscopy (PillCam™)
    • In-Office Procedures
    • Infusion Services
    • Advanced Endoscopic Procedures in Hospital
  • Patient Resources
    • Patient Forms
    • Pre-Op Instructions
    • Post-Op Instructions
    • FAQs
    • Online Bill Pay
    • Useful Links
  • Blog
  • Contact & Locations
    • Westlake, Ohio
    • Brooklyn, Ohio

Patient Forms

Bring Patient Forms with you to your first visit

Patient Forms - North Shore Gastroenterology Thank you for selecting North Shore Gastroenterology in Westlake and Brooklyn, Ohio for your GI care. To schedule an appointment, please call us at (440) 808-1212 or use our online appointment request form.

Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.

Please be sure to bring forms with you to your first visit along with any diagnostic films or other test results that may have been ordered or performed by another physician.

Established patients can update forms online through our patient portal. If you need help accessing the portal, please call the office and we’ll be happy to help.

All new patients to North Shore Gastroenterology are required to complete the first three forms listed below. These documents are in PDF format.

Office Policy (complete this form prior to arrival)

Registration Form (complete this form prior to arrival)

Patient History Form (complete this form prior to arrival)

Endoscopy Consent Form

Advance Beneficiary Notice Form (only applies to Medicare patients)

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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  • Blog

    Discover the latest information on medical breakthroughs in the field of gastroenterology, as well as updates related to our practice at North Shore Gastroenterology’s exclusive online blog.

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  • Patient Education

    Everything you need to know about many of the gastrointestinal conditions we treat at North Shore Gastroenterology is at the tip of your fingers with our convenient patient education library.

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© Copyright ·North Shore Gastroenterology· All Rights Reserved

  • Westlake Office & Endoscopy Center
    850 Columbia Road, Suite 200
    Westlake, OH 44145
    Phone: (440) 808-1212
  • Ridge Park Office & Endoscopy Center
    7580 Northcliff Avenue, Suite 1000
    Brooklyn, OH 44144
    Phone: (440) 808-1212

 

At North Shore Gastroenterology & Endoscopy Centers, our compassionate doctors provide a variety of services including Colonoscopy, Colon Cancer Screening, Upper Endoscopy (EGD), Breath Test, Flexible Sigmoidoscopy, Anorectal Manometry, Medtronic Bowel Control Therapy, Dilation of Esophageal Strictures, Infusion Services, and Advanced Endoscopic Procedures in Hospital.

  • Home
  • Request an Appointment
  • About Us
  • Meet Our Team
    • Physicians
      • Mousab Tabbaa, MD
      • Iqbal Ahmed, MD, FACG
      • Rinjal Brahmbhatt, MD
      • James Harris, MD, FACG
      • Kimberly Harris, MD
      • Preeti Jhawar, DO
      • Mohamed S. Naem, MD
      • Michael Springer, MD
      • Robert Straub, MD
      • J. Owen Tully, MD
      • Back
    • Advanced Practitioners
    • Back
  • Patient Resources
    • Patient Forms
    • Pre-Op Instructions
    • Post-Op Instructions
    • FAQs
    • Online Bill Pay
    • Useful Links
    • Back
  • Conditions We Treat
  • Procedures
    • Colonoscopy
    • Colon Cancer Screening
    • Upper Endoscopy (EGD)
    • Breath Test
    • Barrx™ (Treatment of Barrett’s Esophagus)
    • Bravo™ (Treatment for Reflux)
    • Flexible Sigmoidoscopy
    • Anorectal Manometry
    • Medtronic Bowel Control Therapy
    • Dilation of Esophageal Strictures
    • Small-Bowel Capsule Endoscopy (PillCam™)
    • In-Office Procedures
    • Infusion Services
    • Advanced Endoscopic Procedures in Hospital
    • Back
  • Blog
  • Contact & Locations
    • Westlake, Ohio
    • Brooklyn, Ohio
    • Back