New Patients

If you're planning your first visit to Summit Digestive and Liver Disease Specialists, we look forward to meeting you. To help prepare you, you'll find all the information you need about our practice including:

  • Mission Statement
  • New Patient Form (complete this prior to your appointment to save some time)

Mission Statement

Summit Digestive and Liver Disease Specialists is dedicated to providing high-quality and cost-efficient care to the residents in the community. The practice strives to create an atmosphere to create a supportive team environment to care for patients and their families. We demonstrate our commitment to the community by providing access to care for those in underserved populations and exhibit cultural awareness and respect with our staff of diverse backgrounds and experiences.

In addition to treating illness, the practice also focuses on health promotion and prevention of disease. We are motivated to educate the patient and work together with them for better health practices for healthier living and preventing serious illness.

Patient Forms

Please click on the links below and fill out the forms, so we can expedite your first visit:

New patients can pre-register by completing the following three forms:

If you are a new patient, and your medical case indicates the need for colonoscopy services, please complete and submit the following form:

Telehealth Patients can complete and submit the following Telemedicine Informed Consent Form:



In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.


Preparation - Summit / Hospital
Post Procedure

Preparation English
Preperation Spanish
Preparation Chinese
Post Procedure

Blood Test
Post Procedure

Ultrasound Test
Post Procedure

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. Our accepted insurance policies are with Blue Cross Blue Shield, United Health Care, Humana, SEIU, Medicare, HFN, Commercial Insurance, and Self-Pay.

Payment Options

We accept Visa, Mastercard, American Express, and payment plans that are available.

What To Expect

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.