Patient Forms

Information Center

 

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Meet our Doctors
Accepted Insurance 
Our Services
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Below are our Patient Forms that you can download, fill out and bring to your appointment for quicker, more efficient care.

Direct Screening Colonoscopy Form

Release of Medical Records

Consultation Form

Tips for completing our fillable PDF forms.

1. Download to your device first.

 

2. Fill in form. (If the text is grayed out,  then it may not save.)

 

3. Submit the form(s) to us by:

    -Deliver Personally

    -Mail

    -Fax

    -Email 

Thank you for choosing Comprehensive GI Care. Please be sure to let us know how we can help you. We very much appreciate your feedback and suggestions.

4772 Katella Ave #200,

Los Alamitos, CA 90720

© 2017 Comprehensive GI Care, Dr. Kashyap Trivedi, MD & Dr. Lisa Hertz, MD. 

For Life-Threatening Emergencies Call 911