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Resources for Patients

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Patient Forms

If you have any questions regarding the Patient Forms feel free to contact our main office at 973-658-6315.

Patient Registration Form
Consent for Use and Disclosure of Protected Health Information
Patient Financial Responsibility Statement
Card on File Agreement
Notice of Privacy Practices
HIPAA Consent
Office Policies
Medical Procedure Billing Form
Medical Records Release Form

First Visit

Your first visit to our office will be in the form of a consultation. The physician will meet with you to discuss your gastrointestinal issues, medical and social history, and to perform a physical examination. They will then discuss with you a treatment plan and course of action.

Please Bring The Following Items With You To Your Visit

  • Most current insurance card(s)
  • Driver’s license or photo identification
  • Co-payment in the form of cash, check or credit card
  • A complete listing of your medication, including dosages
  • If you have seen a Gastroenterologist in the past and/or have had prior diagnostic testing done CT scan, x-ray, lab work, etc.), please have those records forwarded to us in advance or bring with you to your appointment.
  • Ensure that our office has received a referral, if necessary, in advance of your appointment.

Insurance & Billing

Please contact our office to verify the acceptance of your insurance plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure and insurance plan. We are happy to file insurance for your reimbursement as long as you are free to choose your own gastroenterologist. For out-of-network services, the estimated amount a patient will be billed is available upon request.

The main number for billing inquiries for Allied Digestive Health is: (732) 702-1039

View Our List Of Excepted Providers

  • Medicare
  • Horizon Blue Cross and Blue Shield
  • Aetna
  • Cigna
  • United Healthcare
  • US Healthcare
  • Oxford
  • and many others.

Prepare For Your Visit

Review Available Resources

Explore patient forms, preparation instructions for your upcoming procedure, FAQs, and insurance/billing information.

Book Appointment

Schedule Online

Whether you are a new or existing patient, you can make an appointment online in just a few steps.

About

About Us Dr. Brown Our Locations

Our GI Care

Procedures & Treatments Conditions & Diseases Other GI Care

For Your Visit

Patient Forms Preparation Instructions Insurance & Billing
Nutley

181 Franklin Ave
Suite 303
Nutley, NJ 07110

P: 973-658-6315
F: 973-352-7567

Hours of Operation
Mon – Fri: 9:00 AM – 5:00 PM
Sat & Sun: Closed

Harrison

620 Essex Street
Suite 202 Harrison, NJ 07029

P: 973-658-6315
F: 973-352-7567

Hours of Operation
Mon – Fri: 10:00 AM – 4:00 PM
Sat & Sun: Closed

North Arlington

25 Locust Avenue
No. Arlington, NJ 07031

P: 973-658-6315
F: 973-352-7567

Hours of Operation
Mon – Fri: 10:00 AM – 4:00 PM
Sat & Sun: Closed

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