Gastrointestinal and Liver Specialists of Tidewater, PLLC

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Accredited by the Accreditation Association for the Ambulatory Health Care, Inc.

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New Patient Forms	Current Patient Forms
New Patient Registration Form Initial Patient History Form HIPPA Privacy Notice Patients Rights and Responsibilities Post-procedure patient survey Medical Records Release Authorization	HIPPA Privacy Notice Patients Rights and Responsibilities Post-procedure patient survey


Harbour View Office 5818 Harbour View Blvd, Suite 240 Suffolk, VA 23435 757-483-6100	Obici Office 2790 Godwin Blvd, Suite 210 Suffolk, VA 23434 757-934-3700	Portsmouth Office 3640 High Street, Suite 1C Portsmouth, VA 23707 757- 483-6100	Smithfield Office Smithfield Medical Center 919 S. Church Street Smithfield VA, 23430 757-357-0277

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