New Patients of Tri-State Gastroenterology Associates

In preparations for your appointment, we have provided we have provided these online forms to complete.  Please be sure to complete the forms entirely as incomplete forms may delay the processing of your request.  Once submitted, the forms will be e-mailed to the appropriate person.  Please allow time for the forms to be reviewed and processed, this could take up to 3-4 days.  Make sure you have given us an e-mail or phone number where you may be reached with either questions or to schedule your appointment.  If you decided you would prefer to have paper copies of these forms, please call 859-655-4480 and a packet will be mailed to you.  Please bring your insurance card to our office on the day of your appointment.  Thank you for allowing us to care for your health needs.

Printable Forms

Schedule a Colonoscopy (Online) Patient Information Protection Plan (Online)

Authorization for Medical Records Received by Tri-State Gastroenterology Authorization for Medical Records Released by Tri-State Gastroenterology

Patient Information Form

Notice of Privacy Practices