Patient Forms

Our Online Patient Forms

Thank you for choosing The Center for Colonoscopy Excellence! After the form is complete, please submit the form by uploading it through our Secure Portal. Please be sure that the name of the file you upload includes your last name and attach a copy of your insurance card along with any additional details if necessary. (You must have the latest version of Adobe Reader installed.)

Instructions for Secure Submission

  1. Download the File you wish to securely submit to SFGI.
  2. Save the file on your computer, and rename it to your last name.
  3. Complete as much of the form as possible.
  4. After the form is complete, submit it the form to through our Secure Portal.
  5. The subject/title of the form should be your last name.
  6. Include a copy of your insurance card (front and back). Upload the files.
  7. Once your forms have been submitted, someone at San Francisco Gastroenterology will contact you within 1 to 3 business days

* Do not use Apple Preview to complete form(s).
Please download Adobe Reader for Mac as an alternative program. Apple Preview does not allow for the file to be successfully processed.

Alternatively, you may send the form via fax (415) 346-0161, or via postal mail to: 2186 Geary Boulevard Ste 320, San Francisco, CA 94115. Also, if it is more convenient for you, you may e-mail this information to our office at

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