logo
Phone 319.234.5990 Address 1015 S. Hackett Rd.
Waterloo, IA 50701
Driving Directions Need Driving Directions?
Pay Bill Patient Health Portal
  • Home
  • About
  • Our Team
  • Procedures
    • Capsule Endoscopy Procedure
    • Colonoscopy Procedure
    • Endoscopic Retrograde Cholangiopancreatography (ERCP) Procedure
    • Endoscopic Ultrasound Using EndoSound Vision System™ (EVS™)”
    • Open-Access Colonoscopy Procedure
    • Remicade Infusion Procedure
    • Sigmoidoscopy Procedure
    • Upper GI Endoscopy Procedure
  • Dietitian Services
  • Patient Education
  • Forms
  • FAQ
  • Contact
  • Insurance
  • Endobariatrics
  • Colonoscopy Preparation
  • Careers

Digestive Health Center

logo
Navigation
  • Home
  • About
  • Our Team
  • Procedures
    • Capsule Endoscopy Procedure
    • Colonoscopy Procedure
    • Endoscopic Retrograde Cholangiopancreatography (ERCP) Procedure
    • Endoscopic Ultrasound Using EndoSound Vision System™ (EVS™)”
    • Open-Access Colonoscopy Procedure
    • Remicade Infusion Procedure
    • Sigmoidoscopy Procedure
    • Upper GI Endoscopy Procedure
  • Dietitian Services
  • Patient Education
  • Forms
  • FAQ
  • Contact
  • Insurance
  • Endobariatrics
  • Colonoscopy Preparation
  • Careers
Pay Bill Patient Health Portal

Patient Forms

  1. Home
  2. Patient Forms

Printable Consent Forms



Notice of Privacy Practices



Authorization For Treatment



Consent For Surgery or Procedure



Standard Authorization to Use or Disclose Protected Health Information (PHI)

Printable General Forms



Map – S. Hackett Rd.



Medicare Workings



FAQs

Printable Procedure Forms



Your Procedural Sedation



Pre-Procedure Discharge

Online Forms



Patient Health History & Call Sheet – Online Form

logo
Facebook Twitter Instagram
Phone 319.234.5990 Address 1015 S. Hackett Rd.
Waterloo, IA 50701
Driving Directions Need Driving Directions?
Contact Us

Menu

  • Home
  • About
  • Our Team
  • Procedures
  • Dietitian Services
  • Patient Education
  • FAQ
  • Forms
  • Insurance
  • Colonoscopy Preparation
  • Endobariatrics
  • Access Your Records
  • Pay Bill
  • Patient Health Portal
  • Careers

© 2026 Copyright Digestive Health Center | Gastroenterologists Waterloo Iowa. All Rights Reserved. | Site By Impact Marketing