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  • (336) 448-2427
Providing compassionate, patient-centered gastroenterology care to the Greater Piedmont Triad area.
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  • Home
  • About
    • About the Company
    • Meet The Team
    • Locations
  • Services
    • Biologic Infusion Therapy
    • Capsule Endoscopy
    • Clinical Research
    • Colonoscopy
    • InterStim Bowel Control Therapy
    • Hemorrhoid Banding
    • Fecal Microbiota Transplant (FMT)
    • FibroScan Liver Test
    • Flexible Sigmoidoscopy
    • Endoscopic Ultrasound
    • Endoscopy
  • Patient Tools
    • Policies & Forms
    • Procedure Preparation Instructions
    • Billing / Insurance Information
    • Pay My Bill
    • MyChart Login
  • Referring Providers
  • Blog
  • Contact Us
    • Careers
  • Home
  • About
    • About the Company
    • Meet The Team
    • Locations
  • Services
    • Biologic Infusion Therapy
    • Capsule Endoscopy
    • Clinical Research
    • Colonoscopy
    • InterStim Bowel Control Therapy
    • Hemorrhoid Banding
    • Fecal Microbiota Transplant (FMT)
    • FibroScan Liver Test
    • Flexible Sigmoidoscopy
    • Endoscopic Ultrasound
    • Endoscopy
  • Patient Tools
    • Policies & Forms
    • Procedure Preparation Instructions
    • Billing / Insurance Information
    • Pay My Bill
    • MyChart Login
  • Referring Providers
  • Blog
  • Contact Us
    • Careers
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Policies and Forms

Office Visit Policies

  • Financial Policy for Office Visits
  • Financial Policy for Office Visits – Spanish
  • No Show and Late Cancellation Policy for Office Visits

Procedure Policies

  • Your Appointment
  • Your Appointment - Spanish
  • Financial Policy for Procedures
  • Financial Policy for Procedures – Spanish
  • Patients Rights & Responsibilities
  • Patients Rights & Responsibilities - Spanish
  • Endoscopy (EGD) Consent
  • Endoscopy (EGD) Consent - Spanish
  • Colonoscopy Consent
  • Colonoscopy Consent - Spanish

General Forms & Policies

  • Release of Medical Information Form
  • Release of Medical Information Form - Spanish
  • Request for Form Completion Form
  • Notice of Privacy Practices
  • Notice of Privacy Practices - Spanish
  • Language Assistance Policy
  • Notice of Nondiscrimination
  • No Surprises and Good Faith Estimates Policy
  • Refund Policy
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  • (336) 448-2427
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Our Locations
  • (336) 448-2427
We provide compassionate, patient-centered care in gastroenterology and hepatology in a timely and cost-effective manner.
Quicklinks
  • About the Company
  • Meet the Team
  • Careers
  • Locations
  • Pay My Bill
  • MyChart Login
  • Referring Providers
Services
  • Colonoscopy
  • Endoscopy
  • Hemorrhoid Banding
  • FibroScan Liver Test
  • InterStim Bowel Control Therapy
  • Clinical Research
Locations
  • Piedmont Office
  • Piedmont Endoscopy Center
  • Salem Office
  • Salem Endoscopy Center
  • Kernersville Office
  • Kernersville Endoscopy Center
  • Clemmons Office

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