The following forms are available for download. Just click on the link to open and then save to your computer. You can print them to bring at the time of your appointment. Please: Do Not Email them to us for security reasons.
- New Patient Form Package (pdf)
- Request Medical Records (pdf)
- Surgery-Prep-Packet-Colonoscopy (pdf)
- Surgery-Prep-Packet-EGD (pdf)
Contracted Insurances and New Patients
Pacific Gastroenterology is contracted with almost all insurance providers.
Insurance Information
Please bring your insurance card(s) when you come in for your appointment. If your card is not available bring any documentation such as insurance name, member number, group number, and insurance address so that we can bill your insurance company. If insurance information is not provided at time of service, payment in full is required or arrangements need to be made with the business office.
Secondary Insurance
We gladly bill all contracted secondary insurance if the information is provided.
Copays
Copays are due at time of service, per most insurance company rules and our company policy.
Good Visit. Dr. spent time with me. felt comfortable. Good Service
Marylyn B.
Medicare
All providers of Pacific Gastroenterology are participating Medicare providers. This means that we will bill Medicare directly and agree to charge no more than the Medicare allowable for a given service.
If the service you receive is covered by Medicare they will pay 80% of those charges after your annual deductible, leaving you a balance of 20%.
Medicare Supplemental Insurance
If Medicare does not bill your second insurance we will gladly bill it for you if the insurance information is provided to us.
Billing office hours: 9 am to 3 pm Monday-Friday.
Billing office phone numbers: 360-823-0880 x 101
Fees
Our fees for medical specialty services are comparable with the Vancouver area. If you have no medical insurance or need to bill your own insurance we request payment in full at time of service unless other arrangements have been made in advance.
I have enjoyed the staff very much. They walked me through all my procedures and were always there to talk & help. Very caring Staff. Dr. Ferdows was very patient, understanding, very helpful. Funny and very thorough about everything.
Thank You all. You have been wonderful.
Loulla J.
Statements
Statements are produced one time monthly. Balances are due 30 days after receipt of statement.
Payments
Please call and make payment arrangements if you need to. We accept all major credit cards and debit cards.