August 1, 2010

Forms / Waivers

The folowing forms are used to inform and protect our clients. You may view printable versions of these forms by clicking the links below. The forms are in PDF format so you'll need a free PDF reader in order to view them.

New Patients

- Privacy Notice

- Waiver

- Financial Policy

- New Patient Information

Michiana Endoscopy Patients

- Welcome Information

- Payment Information

- Disclosure