Clinical Information
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Copyright 2004 CCDH                                                                                                

Items to bring to your appointment:

Additionally, all four doctors are licensed to perform the following procedures:

The physicians at CCDH are all highly trained and specialized physicians that treat a whole spectrum of gastro-intestinal diseases including, but not limited to the following:

bullet Lower GI Bleeding
bullet Upper GI Bleeding
bullet GI infections  
bullet Helicobacter Pylori Gastritis
bullet Hepatitis A
bullet Hepatitis B
bullet Hepatitis C
bullet Liver problems
bullet Malabsorption
bullet Pancreatobiliary Disease
bullet Short Bowel Syndrome
bullet Ulcerative Colitis  
bullet Vomiting
bullet Abdominal pain
bullet Constipation
bullet Cystic Fibrosis
bullet Celiac Disease
bullet Crohn’s Disease
bullet Cyclic Vomiting
bullet Diarrhea
bullet Esophagitis-Reflux
bullet Eosinophilic Colitis
bullet Fecal Incontinence
bullet Feeding Disorders
bullet Food Allergies   
bullet Failure to Thrive      
bullet GE Reflux (GERD)                

bullet Insurance card: If you do not have insurance you will be directly responsible for payment of office visit charges.
 
bullet HMO and POS patients only: We will also need a referral from your primary care physician. You can either bring the referral with you, or you or your physician can fax it directly to our office (847) 723-9050. Please mark it to the attention of Pediatric GI. If you do not have a referral your office visit will be rescheduled to a later date so that you can obtain a referral.
 
bullet Co-pay: If your insurance coverage requires a co-payment (usually $5-$30), please note payment is expected at time of service. We do accept cash, check and all major credit cards.
 
bullet Results of prior testing: (e.g. blood work, stool testing, GI related x-rays). We need all test results even if they were negative. A release of information for our office is attached. We do prefer records to be faxed, however if there is a lot or if the facility does not fax the address is also specified.
 
bullet If your child is being seen for failure to thrive/poor weight gain, obtain the updated growth chart from your primary care physician.
 
bullet If you child has had an Upper GI or any other type of other X-ray we ask that you bring copies of the films with you at the time of you appointment.
 
bullet The review of systems sheet. Please fill out and bring it with you to your visit. If you have any questions or are unsure leave the question blank and ask us at the time of your visit.
 
bullet If you are a new patient the demographic sheet and privacy statement. Please fill out, sign and date, and bring it with you to your visit.

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847.723.7700