Carolina Digestive Health Associates, PA
 

New Patient Welcome Package & Registration

 

Check-in on the day of your visit will be much easier if you take just a few minutes and register online.

  • Click on the Create An Account tab on the top left corner of this page to register.
  • The forms below marked with an asterick (*) can be completed online.
  • After completing these forms please print a copy for you records.
  • Please do take a minute to read the additional forms below that will be provided at time of check in. 

Coming Soon!!  Online registration will allow you to request appointments and lab results. 

For manual registration print and complete forms as indicated. 

  • Please bring completed forms with you at the time of your visit. 
  • Do Not mail these forms prior to your visit. 

 

   Welcome Letter  Please read about our policies.
*Registration Form 
*Patient History & Review of Systems (3 pages) 
   Financial Responsibility Form 
  HIPAA Form 

For Manual Registration please print out and complete all forms except for the HIPAA form.