If you have any questions regarding the Patient Forms feel free to contact our main office at 516-872-7900.
Patient Registration
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 Records Release Form
Medical Procedure Billing Form
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.
Colonoscopy
Upper Endoscopy
Flexible Endoscopy
Capsule Endoscopy
Breath Test
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
Additionally, we accept cash, credit, and checks for self-pay patients and all other payments.
For Your Visit
Valley Stream
P: 516-872-7900
20 West Lincoln Ave, Suite 201
Valley Stream, NY 11580
Monday – 8:30 a.m. – 4:30 p.m.
Tuesday – 8:30 a.m. – 12:30 p.m.
Wednesday – 2 – 5:30 p.m.
Thursday – 8:30 a.m. – 4:30 p.m.
Friday – 8:30 a.m. – 12:30 p.m.
Saturday & Sunday: Closed
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