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Patient Forms

If you have any questions regarding the Patient Forms feel free to contact our main office at 845-354-3700.

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
Patient History Form
Medical History ROS

First Visit

The first visit to our office is designed to make your experience as comfortable as possible and get you better acquainted with who we are and all that we offer. We welcome your questions and always strive to deliver the utmost in care.

Your doctor may ask you a series of questions about your medical history and current symptoms, upon which you’ll be given a physical exam. Possible recommendations for treatment will then be discussed.

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.
  • It is important that you arrive at your appointment early and allow ample time for the check-in process. We cannot predict how long it will take each individual to complete the process; therefore, please arrive according to the suggestions below:
  • New patients and those not seen in over 1 year – 30 minutes
  • Existing patients – 15 minutes
  • Procedures – 30

Insurance & Billing

Our office participates in many insurance plans. If your insurance plan is not listed, please call your insurance company to confirm participation.

For additional information regarding out-of-network benefits, plan-specific information, or other billing and insurance inquiries, the following contact will gladly assist you.
The main number for billing inquiries for Allied Digestive Health is: (732) 702-1039

View Our List Of Accepted Providers

  • Medicare
  • AARP Medicare Complete
  • Aetna/US Healthcare (HMO/PPO/Commercial)
  • Affinity
  • Alicare
  • American Medical & Life Insurance (AMLI)- Multiplan Network
  • Anthem Health
  • APWU Health Plan
  • Atlantis Health Plan
  • Bankers Conseco Life
  • Beech Street Network
  • Benefice Health Plan/Cigna Healthcare
  • Capital District Physicians Health Plan (HMO/POS)
  • Champa-VA
  • Chesterfield Resources
  • Choice Care/Humana
  • Cigna (HMO/PPO)
  • Community Care Network/Coventry Health
  • Consumer Health Network(CHN)- Consolidated Services Group
  • Coventry Health Care/First Health PPO
  • Devon Health Services
  • Department of labor –OWCP
  • Emblem Health (GHI Products-POS/PPO/HMO) & (HIP Products- HMO, POS, PPO Medicare & Medicaid Adv, Healthy NY)
  • Empire Blue Cross Blue Shield (HMO/POS/EPO/PPO/ Indemnity/Medicare)
  • Empire Plan (United Healthcare Care)
  • Fidelis Care
  • First Health (PPO)/Coventry Health Care
  • Galaxy Health Systems
  • GHI (HMO/PPO)/Emblem Health
  • Great West/Cigna Health Plan
  • Guardian
  • Health Net
  • HIP (Classic, Prime & Premium Networks), HMO,POS, Open Access, PPO, Healthy NY Medicare & Medicaid Advantage, Healthy NY, Family Health Plus.
  • Humana
  • Indesc-Orange Ulster
  • Local 1199
  • Local 825 Operating Engineers (PPO)
  • Magnacare (PPO/HMO)
  • Maloney & Associates
  • Medicaid
  • Medicare
  • Mertain Health
  • Multiplan PPO/PHCS
  • MVP Health Plan
  • NALC Postal Workers
  • National Provider Network
  • NJ Carpenter’s Fund
  • NYC District Council of Carpenters
  • Oxford (Liberty/Freedom/Medicare/Commercial)-United Healthcare
  • Pomco
  • PHCS (PPO/POS)/Multiplan
  • Railroad Medicare (United Healthcare)
  • State Voucher
  • Tricare/Sierra Military Health
  • Transamerica
  • UMR
  • United Healthcare (EPO/HMO/POS/PPO/Medicare/Community Care)
  • Wellcare Health Plan

FAQs

A gastroenterologist is a highly trained physician who has specialized in the diagnosis and treatment of gastrointestinal diseases and conditions. Most commonly, gastroenterologists treat their patients for gastroesophageal reflux disease (GERD), abdominal pain, hemorrhoids, rectal bleeding, altered bowel movements and liver disease.

A GI physician performs endoscopic procedures using endoscopes or flexible tubes that when inserted in the digestive tract allow for inspection, biopsy and therapeutic interventions. Endoscopy may permit the detection of certain cancers, polyps or ulcers, or it may be used to determine the cause of bleeding in the digestive tract. Advanced endoscopic procedures may be used to diagnose and treat conditions of the liver, gallbladder or pancreas. Upper endoscopies examine the esophagus, stomach, and duodenum, while lower endoscopies, or colonoscopies, examine the bottom portion of the colon.

The American Cancer Society recommends that all adults should undergo colon cancer screening beginning at age 50 or earlier, depending upon the risk of developing colorectal cancer. A screening colonoscopy is a commonly ordered health screening examination of the colon. The patient is given a mild sedative drug before the procedure. During a colonoscopy, a thin lighted tube is inserted through the rectum allowing the gastroenterologist a full view of the lining of the rectum and the entire colon. If polyps are discovered, they may be removed as part of the procedure.

Colon cancer screening is best performed by colonoscopy and should begin at age 50 (as recommended by the American Cancer Society) and be performed every ten years. If a person has a family history of a parent or sibling having colon cancer before age 65, then colon cancer screening should begin at age 40 or ten years younger than the age of when the family member was diagnosed with colon cancer. Otherwise, a physician will indicate the frequency of colon cancer screenings to you following an initial consultation.

Traditionally, patients that undergo procedures are in the office for about an hour and a half. During an endoscopic procedure, the patient is sedated by an Anesthesiologist. BE SURE TO: Bring someone to drive you home, DO NOT work, and DO NOT make any important decisions the day of your procedure.

Preparation varies depending on your health history and the procedure planned. Click HERE to review specific preparation instructions of the procedures we provide. It is very important to follow your instructions carefully, as incomplete preparation may require an additional appointment.

A colorectal surgeon deals with surgery of the colon. If you are unsure whether or not you need to go to a colorectal surgeon, we recommend first seeing one of our five gastroenterologists, they are physicians who specialize in the diagnosis and treatment of disorders of the gastrointestinal tract. If necessary, one of the physicians will refer you to a colorectal surgeon.

Appointment FAQs

  • Aetna
  • Blue Cross / Blue Shield
  • Cigna
  • Emblem Health
  • GHI
  • HIP
  • MagnaCare
  • Meritain Health
  • Medicare
  • MultiPlan
  • Oscar
  • Oxford
  • UHC Empire Government Plan
  • United Healthcare
  • WTC Program

Additionally, we accept cash, credit, and checks for self-pay patients and all other payments.

If you opt to self-pay and would like to know about our fee schedule, call our office at 845-354-3700 for the billing department for more information.

Call our office at (516) 785-6800 and leave a detailed message including your spelled name, date of birth, medication, pharmacy with location, and phone number. You can expect a refill within the following 48-72 hours.

Call our office at (516) 785-6800 Monday-Friday during business hours to inquire about an appointment.

For initial consultations, plan to spend approximately 1 hour in the office where you will complete paperwork, meet with your physician, and schedule your next appointment or procedure. For follow-up visits, you will likely be in the office up to 45 minutes.

Your physician will record and evaluate your social, medical, and familial history and then proceed to examine you. Your physician will then review a treatment plan, which may include an endoscopic procedure.

  • Most current insurance card(s)
  • Driver’s license or other photo identification
  • Co-payment in the form of cash, check or credit card
  • A complete listing of your medication, including dosages
  • Calendar, in order to schedule any future appointments

Prepare For Your Visit

Review Available Resources

explore patient forms, preparation instructions for your upcoming procedure, and billing information.

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

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Wantagh North
P: 516-785-6800
F: 516-785-2121
1488 Wantagh Avenue
Wantagh, NY 11793
Mon – Thurs: 8:30AM – 5:00PM
Fri: 8:30AM- 4:30PM
Sat & Sun: Closed

Pomona
P: 845-354-3700
974 Route 45,
Suite 2000
Pomona, NY 10970
Mon – Fri: 8:00AM – 5:00PM
Sat & Sun: Closed

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