702-948-9480

Patient Forms

Please register using the link below.

Completing these forms will eliminate the need to fill forms at the office.


ONLINE FORM : The following form can be filled and submitted online:

New Patient Medical History Form takes approximately 5 minutes to complete.


PRINT FORMS: If you prefer to print the forms and bring them to the office- click below (complete both forms)

Insurance Registration Form
Medical History Form

You can review Office Policies online or print them for your records

HIPPA (Notice of Privacy)
– Financial Policy Form


PATIENT PORTAL: If you have a PORTAL to access your records, make appointments and fill office forms you can use the following link. If you do not have access to the PATIENT PORTAL, please ask the office staff to provide access information

– Patient Portal (Patient Fusion) 

What We Do

Center for Colon and Digestive Diseases is committed to providing the highest quality of care to all our patients by practicing evidence based, cost-effective medicine, through comprehensive consultative services, and utilizing the most advanced procedures available. We strive to work closely with all members of the healthcare team. Our website is designed to provide answers to frequently asked questions about your visit. You can find an overview of our practice including our doctors and staff, office hours, insurance and appointment procedures, forms, bowel preparation instructions, and contact information.