If you have made your initial appointment, you can pre-register by clicking on the patient portal button [upper right corner of this web page] or click on the link(s) below to download the forms. Please print and complete the forms prior to your arrival to expedite your registration. You will need Adobe Reader in order to view these forms. Click here if you need to download Adobe Reader.
New Patient Forms:
Existing Patient Forms:
Notice of Privacy Practices (HIPPA)
- Release of information
Note: Records requested for personal or legal use require payment before records may be released
Colonoscopy with Golytely Instructions
Colonoscopy with Kristalose Prep Instructions
Colonoscopy with Movi Prep Instructions
Colonoscopy with Osmo Prep Instructions
Colonoscopy with SU Prep Instructions
Esophageal Manometry Instructions
Esophageal pH Study Instructions
Flexible Sigmoidoscopy Instructions
Ambulatory Reflux Study (Acid Only) Prep Instructions
Anorectal Manometry Instructions
Banding of Hemorrhoids Instructions
Biofeedback Procedure Instructions
Endoscopic Hemorrhoid Treatment Patient Instructions
Hydrogen Breath Test
Liver Biopsy Instructions
Sitzmark Study Instructions
Helpful Medical Links
American Gastroenterological Association Patient Center
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Gastrointestinal functional and motility disorders
Celiac Disease Foundation
Celiac Sprue Association (CSA)
The Crohn’s & Colitis Foundation of America (CCFA)
Medline Plus Drug Information
American Association for the Study of Liver Disease (AASLD)
American Cancer Society
Center for Disease Control and Prevention (CDC)
GI Support Links
IFFGD (International Gastrointestinal Disorders)
Chronic Constipation aboutConstipation.org
Acid Reflux Disease (GERD) aboutGERD.org
Motility Disorders aboutgiMotility.org
Irritable Bowel Syndrome aboutIBS.org
Incontinence, Leakage or Urgency aboutIncontinence.org
Digestive Disorders in Kids and Teens aboutKidsGI.org
Digestive Health Research giResearch.org
IBS Self Help & Support Group www.IBSgroup.org
IBS Diet www.DrDahlman.com/IrritableBowelDiet
Colon Cancer www.healthcentral.com
Crohn’s and Colitis Foundation of America
American Liver Foundation
Susan Cohan Kasadas Colon Cancer Foundation (Susie’s Story)
Hepatitis Foundation International (HFI)
New Diet Tips & Resources firstname.lastname@example.org
GYGIG (Get Your Guts in Gear)- 2011 rides for Crohn’s and Colitis
What information should I bring to my appointment?
Please bring your completed new patient packet to your first appointment. This packet is very important since it should contain information of your complete Medical and Surgical history; current medications you are taking; family history; allergies and a list of all other Doctors currently caring for you. Additionally, please bring your D/L and your current Insurance cards (both primary and secondary).
If you are scheduled for endoscopic procedures and diagnostic tests, the office staff will make arrangements and provide you with needed information.
Do you need my medical records?
Please have your pertinent medical records sent to us prior to your appointment. This information is very important to your physician in your diagnosis and treatment.
What if I need to cancel my appointment?
If you are unable to keep your appointment, please be courteous and notify the office 24 hours in advance by calling (281) 528-1511. This enables us to schedule appointments for other patients who need to be seen.
What insurances do you accept? Do you accept credit cards?
We participate in most commercial insurance plans, HMO's, and accept Medicare assignment. We will gladly file your insurance for you; however, we do request your portion (co-payment, deductible, co-insurance) be paid at the time services are rendered. These payments may be made by cash, check, or credit card.
If I am in an HMO insurance plan, do I need a referral from my primary physician?
If you are a member of an HMO, it is necessary to have a referral from your primary care physician. Please check with your doctor's office to make sure your referral is received prior to your appointment. If a referral has not been received by the time of your appointment, you will be required to pay cash at the appointment, or you will be rescheduled.
A report of our findings and recommendations will be sent to the referring physician. Information about your medical record is not released without your written consent except when required by law.
What if I have questions about my treatment, medications, lab results, or other concerns?
If you have a question about any portion of your treatment, please call our office at (281) 528-1511.
Our receptionists are vital to our practice, and to a large degree, keep our office running smoothly by efficiently scheduling patients. However, they are not medical personnel and have not had proper training to answer questions regarding your medical care. Any questions about your medical treatment, medications, lab results, or other concerns should be directed to the nurses. If they are unable to answer your question, your chart will be reviewed with the physician and his advice will be relayed to you as quickly as possible.
The nurses return phone calls in order of urgency.
I need to get my prescription refilled. What do I do?
You can request prescription refills by calling our office at (281) 528-1511.
Calls for prescription refills should be made ONLY during office hours in order that the doctor can review your chart before ordering medications. Please have your medication bottle and pharmacy telephone number available when you call. Please allow 24 hours for prescriptions to be filled.
What if I have a medical emergency after regular office hours?
Our telephone is answered 24 hours each day. The answering service will contact the physician for emergencies arising after office hours or during lunch time. Please limit after hours calls to emergencies only.
What are your office hours?
Office hours are Monday through Friday 8:30 a.m. - 5:30 p.m. Patients are seen by appointment only.
About this website:
The information provided on this website is general in nature and is not intended as a substitute for consultation with a doctor and a particular treatment plan. The material provided and any e-mail generated by this website may not be secure and is not intended to create, nor does the receipt of it constitute, a doctor-patient relationship.