Patient Forms, Map and Directions to Rochester, NY Office

Planning your first visit to Gastroenterology Associates of Rochester LLP? On this page you’ll find the information you need to get started, such as a map and directions to our office. To save you time, we've also included our new patient forms which you can print out and complete prior to visiting our office.

Mission Statement
We aspire to make our office a friendly, compassionate & respectful environment for patients and staff. We recognize it is a privilege to serve you and want to earn your trust and confidence. Our goal is to provide the best possible inpatient and outpatient gastrointestinal care. We view each person as a unique individual and strive to treat them with the same respect we would give a family member.

Patient Forms

New Patients, please print and complete these forms to expedite your first visit:

• Medical History
• Review of Systems

Other Patient Forms:

• Medical Record Release
• Patient Acknowledgements
• RHIO Consent
• RWOP Intake Forms

Patient Forms About Your Rights:

• Bill of Rights
• Notice of Privacy Practices

Patient Preparation Forms:

• Colonoscopy - Miralax with Dulcolax Preparation Instructions
• Colonoscopy - Miralax with Magnesium Citrate and Dulcolax Preparation Instructions
• Colonoscopy - Movi Prep Preparation Instructions
• Colonoscopy - Osmo Pill Preparation Instructions
• Colonoscopy - Polyethylene Glycol with Dulcolax Preparation Instructions
• Colonoscopy - Polyethylene Glycol with Magnesium Citrate Preparation Instructions
• Colonoscopy - Suprep Preparation Instructions
• Colonoscopy - Clenpiq Preparation Instructions
• Colonoscopy - Plenvu Preparation Instructions
• EGD/ERCP Instructions
• Esophageal Manometry Preparation Instructions
• Flexible Sigmoidoscopy - Dulcolax Laxative/Fleet Preparation Instructions
• Flexible Sigmoidoscopy - Magnesium Citrate/Fleet Preparation Instructions
• Fructose Hydrogen Breath Test
• Lactose Hydrogen Breath Test
• Hydrogen Breath Test Preparation Instructions for SIBO
• Suprep Preparation Instructions for VCE

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Click here to download it.

Driving Directions