Patient Forms

The Gastroenterology Specialists, Inc looks forward to having you join our host of satisfied clients. Each of our doctors has schedules tailored for your convenience.  To schedule an appointment, please call us at 401-596-6330 in Westerly, Rhode Island,  at 401-792-4881 in Wakefield, Rhode Island  or 860-572-5862 in Mystic , Connecticut.

Once you have made your initial appointment, you can pre-register by clicking on the links below to download the New Patient Forms.  Please print and complete the forms prior to your arrival.  This will help to speed up the new patient registration process and get you in to see the doctor faster!

Please Note:  Established patients not seen since March 2010, please fill out the Patient Interview Form under the New Patient heading.

Interactive Forms:

New Patient's:

• Patient Registration Form
• Patient Interview Form
• HIPAA Receipt Form
• HIPAA Form

Established Patient's:

• Request For Office Visit Form
• Interval Interview Form
• Medication Refill Request Form

Downloadable Forms:

• Patient Registration Form
• Patient Medical Interview Form
• Interval Interview Form
• HIPAA Receipt Form
• HIPAA Form 

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