New Patients

The Physicians and staff of this office would like to welcome you. We hope we can make your visit as pleasant and
comfortable as possible.

An appointment is set up especially for you. Make every effort to keep your appointment as we will not re-schedule
your appointment after a second "no-show" without proper notice, unless it is due to an emergency. If you are
unable to keep your appointment please call this office 24 hours in advance to cancel.

If you are referred to us by your primary care physician or other doctor, you may need to obtain an authorization for
your visit to our office. Please contact your primary care physician and they will assist you in obtaining an
authorization. It is standard practice for this office to collect co-pays and or deductibles at time of service, however
we will file with your insurance carrier as a courtesy. Please bring your insurance card with you to avoid any delays
or denials from your insurance.

In order for the doctors to make a recommendation on your illness, it is necessary that you bring a list of all your
medications, medical records and any X-rays taken for review. If you do not have these records, please let us
know, and we will assist you in obtaining them.

We are here to help you and hope that we can provide you with the best possible care. We look forward to seeing
you.

Your Physician has referred you to our office for your medical condition.Here you will find all the necessary
information regarding your appointment. Call your primary care physician to obtain a referral number if necessary,
and to request copies of any lab work, X-ray reports, or other pertinent data that will be relevant to your visit, these
reports can be either mailed, faxed to our office (210-615-8313) or hand carried at time of appointment.

YOUR RESPONSIBILITIES:

• If your insurance has changed please call us Immediatley. Bring all medications with you to your appointment.

• Make sure you get to your appointment 30 minutes early to register and have your current insurance card and I.D.

• If you are unable to keep your appointment, it is YOUR responsibility to call our office and RESCHEDULE. You will be charged $25.00 if you do not notify our office within 24 hours.

• If follow-up visits are necessary, patient must obtain a referral prior to scheduling an office visit.(HMO ONLY)

• Do not lose your information. Doing so will result in unnecessary time delays.

• Bring all X-rays/MRI films, that pertain to your related GI symptoms. You will not be seen by our specialist without them.

• Failure to obtain medical records will result in cancellation of appointment.

NEW PATIENT FORMS: