If you have any questions regarding the Patient Forms feel free to contact our main office at 732-370-2220.
Consent for Use and Disclosure of Protected Health Information (PHI)
Medical Records Release
Notice of Privacy Practices
Card on File Agreement
Medical Procedure Billing Form
Office Policies
Patient Financial Responsibility Statement
Patient Registration Form
Patient HIPAA Consent Form
Your first visit to our office will be in the form of a consultation. The physician will meet with you to discuss your gastrointestinal issues, medical and social history, and to perform a physical examination. They will then discuss with you a treatment plan and course of action.
Our office participates in many insurance plans. If your insurance plan is not listed, please call your insurance company to confirm participation.
For additional information regarding out-of-network benefits, plan-specific information, or other billing and insurance inquiries, the following contact will gladly assist you.
The main number for billing inquiries for Allied Digestive Health is: (732) 702-1039
For Your Visit
Englishtown Office
P: 732-370-2220
55 Willow Lane, Suite 201
Englishtown, NJ 07726
Mon – Thurs: 9:00AM – 5:00PM
Fri: 9:00AM- 3:00PM
Sat & Sun: Closed
Howell Office
P: 732-370-2220
59 Kent Road
Howell, NJ 07731
Mon: 9:00AM – 5:00PM
Tue: 9:00AM – 5:00PM
Wed: Closed
Thurs: 9:00AM – 5:00PM
Fri, Sat & Sun: Closed
*Office hours are subject to change based on availability
Old Bridge Office
P: 732-370-2220
100 Perrine Road
Old Bridge, NJ 08857
Mon: Closed
Tue: Closed
Wed: 9:00PM – 3:00PM
Thurs: Closed
Fri, Sat & Sun: Closed
*Office hours are subject to change based on availability
© All Rights Reserved