Patient Forms, Map and Directions to Wichita Falls Office
Planning your first visit to Wichita Falls Endoscopy Center? On this page, you'll find the information you need to get started, such as a map and directions to our Wichita Falls 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.
For your convenience, our patient forms are located below. Please download, print and complete the following forms so we can expedite your first visit:
- Admission Acknowledgement
- Welcome Form
- Welcome Form - Spanish Version
- HIPPAA Privacy Receipt Acknowledgement Form
- Notice of NonDiscrimination - Multi Language
- Notice of Privacy Practices
- Notice of Privacy Practices - Spanish Version
- Recent Travel Form
- TX Patient Notification of Data Collection
- TX Patient Notification of Data Collection - Spanish Version
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.
Insurance and Billing
Please contact our office to verify acceptance of your insurance plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure. We are happy to file insurance for your reimbursement as long as you are free to choose your own gastroenterologist.
Please see our Financial Coordinator for details.
What To Expect
Being well-prepared for your visit will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first visit. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.