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Gulf Coast Endoscopy CenterGulf Coast Endoscopy Center

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Patient Forms

At Gulf Coast Endoscopy Center, your time is as valuable to us as it is to you. Upon scheduling your surgery, a member of our staff will provide you with the required forms to fill out. We encourage you to take time to complete these before arriving on day of surgery, so that we may care for you promptly. If you happen to misplace any of the provided forms, duplicates are available for download and print below.

Financial Agreement

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Patient Consent

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Anesthesia Consent

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Patient Rights

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Health Care Advance Directive (English)

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Health Care Advance Directive (Spanish)

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Gulf Coast Endoscopy Center
7152 Coca Sabal Lane,
Ft. Myers, FL 33908

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