Patient Forms

Thank you for choosing GI Associates of Big Bend.

Please read the information contained in these files carefully and bring all the completed documents with you to your appointment.

If you are a new patient, these forms must be completed in their entirety prior to your scheduled visit.   If it has been more than a year since your previous visit, we ask that you fill them out again in order to keep your information up to date.  Each form is available separately below:

• Patient Information Form
• Health History Form
• HIPAA Form
• Patient Bill of Rights
• Insurance Authorization Form
• Patient Privacy Practices Acknowledgment
• Medical Records Release Form

Adobe Acrobat Reader is required to view and print these forms.  Click here to download and install Acrobat Reader.

If you have questions about your new patient forms or your appointment, please call the office at (850) 894-1166. If you need to reschedule, please call at least 48 hours prior to your appointment.