Dr. Ifeadike

Dr. Ifeadike


Dr. Ifeadike

Patient Forms

All patients must print and complete:

  • Privacy Acknowledgement
  • Insurance Coverage and Referral Waiver
  • Patient Information Form
  • Medical History Form

Download Documents

pdf   Disclosure_hipaa
pdf   Prep_Instructions_for_Colonoscopy_for_children_5_and_under
pdf   Financial_policy_Pediatric_Gastro_2009
pdf   Financial and Consent Form
pdf   Hippa Signature Form
pdf   Patient Information Form
pdf   Patient Consent Form
pdf   Pediatric Patient History Sheet

Please bring completed from to the initial appointment.

Prep Instructions for Procedures

Upper Endoscopy (EGD)
Breath Testing (Lactose Intolerance, Bacterial Overgrowth, and H. pylori Infection)

Important Websites

American Gastroenterology Association www.gastro.org
Crohn's and Colitis foundation of America www.ccfa.org
North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (www.naspghan.org)
American College of Gastroenterology (ACG) (www.acg.gi.org)
American Gastroenterology Associates (AGA) Crohn’s and Colitis Foundation of America (www.ccfa.org)

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Pediatric Gastroenterology Associates
Phone: 678-474-1115

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