Patient Forms, Map and Directions to Fairfield, CT Office
If you're planning your first visit to Gastroenterology Associates of Fairfield County, we look forward to meeting you. To help prepare you, you'll find all the information you need about our practice and Fairfield midwives on this page, including:
- Review Informed Consent
- Review Advanced Directive Form
- Patient's Rights & Responsibilities
- Medication Management Form
- Cancellation Policy
- Record Release Authorization
- Privacy Notice
Our practice is working together to realize a shared vision of uncompromising excellence in gastroenterology.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Please print and fill out these forms so we can expedite your first visit:
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.
Being well-prepared for your appointment 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 appointment. 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.
From I-95 Driving Northbound: Take Exit 22,toward Round Hill Road. Stay straight to go onto ramp. Turn slight Right onto Walls Drive. Turn Right onto N. Benson Rd (CT-135). Turn left onto Post Rd. (US-1) Follow Post Road past McDonalds to 425 Post Rd. Turn right into our parking lot across from the Super Stop & Shop. Park near the canopy or in front of the building and enter through the side entrance with the canopy. We are on the first floor.
From I-95 Driving Southbound: Take Exit 23, Kings Highway. Follow the road as it curves slightly left onto Kings Highway Cutoff (Route 1 South). At the second light, turn left into our parking lot across from the Super Stop & Shop. Park near the canopy or in front of the building and enter through the side entrance with the canopy. We are on the first floor.
View map of location area.