Patient Information


These forms (under patient forms) are NOT editable and are NOT able to be submitted online. If you wish to use these forms you must print them, fill them out, then bring them with you to your appointment.


Appointment Cancellations
We kindly ask you to contact our office a minimum of 48 hours in advance of your scheduled appointment or procedure in the event you need to cancel or reschedule. This allows us to offer the appointment to another patient in need. Failure to comply with this policy may result in a cancellation fee.

Office Appointments
Please be sure to bring the following items along with you to your office visit:

  • Insurance card and photo ID
  • Completed new patient paperwork (if applicable)

Please plan to arrive 15 minutes prior to your visit to allow the appropriate amount of time for the receptionists to gather your information and get you registered.

Any applicable co-payments are due at the time of your visit. The receptionists will collect this co-payment when you arrive for your appointment. We accept cash, check, Visa, MasterCard, and Discover. We do not accept American Express at this time.

In the event your insurance requires an insurance referral please contact your primary care physician’s office to request one. EPGI must have this referral prior to your office visit.

Prior to your visit please contact our medical records staff to let them know of any procedures, tests, or lab work that you’ve had completed. Having your complete records allows our providers to provide the best possible care and not repeat any testing you may have already had done.

Fees and Insurance
Fees are based on the services provided during your appointment or procedure. EPGI participates with many insurance companies but it’s always best to check with your individual insurance company to see if you have a plan we participate with.

There are many different insurance carriers as well as plans offered by the carriers. Your insurance company will be able to verify your insurance benefits and advise you whether the procedure or test you were prescribed will be covered by your individual plan.

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