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Patient Information

All new patients need to complete the following paperwork for their 1st visit.  To expedite the process, we encourage patients to download the forms and bring them in completed.  All forms are in PDF.

General Surgery Patient Registration Form – Fill out

General Surgery Medical History Form – Fill out

Financial Policy – Review & Sign

HIPAA Privacy Policy – Review

Privacy Policy Acknowledgement Form – Sign

Clinical Database Consent – Review & Sign

 Sonora Quest Online Appointment Scheduler – Click here to set-up your appointment.


Medtronic Enterra Therapy – Enterra® Therapy may relieve chronic nausea and vomiting symptoms associated with gastroparesis of diabetic or idiopathic origin.  The Enterra Therapy system uses an implanted neurostimulator to generate mild electrical pulses that are sent through insulated wires (leads) to the lower stomach.

Covidien Barrx – At GI Solutions, we are committed to the ongoing research and treatment of Barrett’s esophagus in order to improve the quality of life of patients diagnosed with the disease.

TreatBarretts.com – For the latest information about Barrett’s esophagus, symptoms such as acid reflux, and its potential risks in leading to esophageal cancer, please visit Covidien’s patient website.  There you will find information about the disease, read stories from patients, watch videos from leading physician experts, and much more.

Ethicon – At Ethicon, we’re working to redefine surgery to change the world for the better.  We share an enduring commitment to advance surgical care so more patients live longer, more fulfilling lives. This commitment is founded upon three key ideas:  Partnering with our customers to deliver more meaningful solutions; Expanding patients’ access to care globally; and Making a lasting difference in our communities around the world.

www.Realize.com – Experts agree that to lose weight—and keep it off—weight loss surgery patients require help to adopt a new healthy lifestyle.  Explore www.REALIZE .com created by Ethicon Endo Surgery to learn more about bariatric surgery including gastric banding, gastric bypass, and sleeve gastrectomy.