For Patients
Patient Forms
We know your time is important. Therefore, we have provided our most commonly used forms online to help expedite the check-in portion of your visit to our office.
Please complete the appropriate registration forms below and bring your insurance cards and a photo ID to your visit to finalize your registration.
For the fastest service, complete the online form. If you are unable to complete the online form, please complete the printable form and fax it to (704) 602-6578 or return to the closest CGH location.
Patient Forms
Pre-procedure Forms
Procedure Scheduling Form
Additional Forms & Documentation
The following forms and documents are used to collect essential patient information, including demographics, medical history, insurance details, and consent.
Colonoscopy Consent Form
Upper Endoscopy Consent Form
Flexible Sigmoidoscopy Consent Form
Financial Hardship and Financial Assistance Policy
Medical Records Release Form
Acknowledgement of Receipt of Patients’ Rights and Advanced Directives
Additional Resources
Gastrointestinal Links
- American Association for the Study of Liver Disease
- American Cancer Society
- American College of Gastroenterology
- American Gastroenterological Association Patient Center
- American Liver Foundation
- American Society for Gastrointestinal Endoscopy
- Celiac Disease Foundation
- Celiac Sprue Association
- Centers for Disease Control and Prevention
- Crohn's & Colitis Foundation of America
- International Foundation for Functional Gastrointestinal Disorders
- MedlinePlus
- MedlinePlus Drug Information
- Medscape
- National Digestive Diseases Information Clearing House