Thomasgastro.com

Raymond M. Thomas, MD, PC – Leading GI Specialist in the Finger …

WebMon – Fri: 8:00 AM to 5:00 PM. We occasionally close mid-day for lunch & in-services. Procedures are performed Monday through Friday from 7:00 AM to 1:45 PM at FF …

Actived: 5 days ago

URL: https://thomasgastro.com/

Patient Portal – Raymond M. Thomas, MD, PC

WebContact. Location: 199 Parrish Street. Canandaigua, NY 14424. The office is a blue building on the opposite side of the street from FF Thompson Hospital. Telephone Number: (585) …

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Forms – Raymond M. Thomas, MD, PC

WebRelease of Information TO Dr. Thomas. Forms needed at your first visit and then once a year afterward: Health Assessment. Forms needed at EVERY visit: Review of Systems. …

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HEALTH ASSESSMENT FORM

WebSECTION D: FAMILY HEALTH HISTORY  Unknown family history FATHER:  Living  Deceased due to_____ Health history:  Asthma  Colon polyps  Hepatitis  Other _____  …

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AUTHORIZATION TO RELEASE MEDICAL RECORDS I authorize …

WebRaymond M. Thomas, MD, PC – Gastroenterology/Hepatology 199 Parrish St., Canandaigua, NY 14424 Phone: (585) 394-2520 - Fax: (585) 394-2524

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AUTHORIZATION TO RELEASE MEDICAL RECORDS I authorize …

WebRaymond M.Thomas, MD, PC – Gastroenterology/Hepatology AUTHORIZATION TO RELEASE MEDICAL RECORDS Patient name: _____ Date of Birth: _____ I authorize …

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Friends & Family Designation Form

WebRaymond M.Thomas, MD, Gastroenterology/Hepatology 199 Parrish St., Canandaigua, NY 14424 (585) 394-2520 Friends & Family Designation Form ONLY people listed on this

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Raymond M. Thomas, MD, PC PATIENT FINANCIAL POLICY

WebBy signing this form, I am acknowledging that I have read, understand, and agree to the above Financial Policy. Patient Signature _____Print

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