Forms, Insurance & Billing

New Patients

Planning your first visit to Granite State Gastroenterology? On this page, you’ll find the information you need to get started. To save you time, we’ve also included our new patient forms, which you can print out and complete prior to visiting our office.

Mission Statement

Our practice is working together to realize a shared vision of uncompromising excellence in gastroenterology. To fulfill this mission, we are committed to:
• Listen to those we are privileged to serve.
• Earn the trust and respect of patients, profession and community.
• Exceed your expectations.
• Ensure a creative, challenging and compassionate professional environment.
• Strive for continuous improvement at all levels.


Patient Forms

For your convenience, our patient forms are located below. Please download, print and complete the following forms so we can expedite your first visit:

Prep Kit Forms

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

Insurance and Billing

Please contact our office to verify acceptance of your insurance plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure. We are happy to file insurance for your reimbursement as long as you are free to choose your own gastroenterologist.

Accepted Insurances

• AARP (some now require a co-pay, check card)
• Aetna
• Anthem Medicare Preferred
• Bankers Life
• Bluechoice
• Cigna
• Commonwealth Indemnity
• Fallon Community (with the exception of Dr. Taylor)
• Harvard Pilgrim, Harvard Pilgrim Medicare (we do not take Elevate)
• Harvard Pilgrim Stride
• HP Health Plans
• Matthew Thornton
• Multiplan/PHCS
• Medicare
• NH Medicaid, NHHF, Granite State
• Tricare for Life/Region 1 (secondary)
• Tufts
• Unicare
• United Healthcare and UHC/HP

Non-Participating Insurances

• Humana Gold
• Minuteman
• Harvard Pilgrim Elevate
• Tricare Prime

Payment Options

• Pay online now at Free, Secure, Easy.
• Cash
• Check
• Visa
• Mastercard
• American Express