Call us
770-410-1600

Map & Directions to our
Alpharetta Office

Patient Center

To expedite your visit, please download and complete those forms below that are appropriate to the particular type of visit you are scheduling.  Once you complete the forms, we ask that you fax them (preferred) to 770-410-0006 or that you mail them to our office well in advance of your scheduled appointment. 

Mail the completed forms to:

Jay Cherner, M.D.
Gastroenterology Consultants, P.C.
3330 Preston Ridge Road
Suite 220
Alpharetta, GA 30005

Dr. Jay Cherner Office Forms

If you are scheduled for an office visit with Dr. Cherner, please complete the appropraite forms below.

• Patient Information Forms Package   - For all new patients or for those established patients who have not been seen for three years or more.
• Medical History Questionnaire  - For all new patients except those wishing only a Screening Colonoscopy or for those established patients who have not been seen for three years or more.
• Medical History Questionnaire for a Screening Colonoscopy - to be completed in place of the more general Medical History Questionnaire listed above.

• Individual Forms
  • Authorization to Release Medical Records to Gastroenterology Consultants, P.C.
  • Consent for Release of Information by Gastroenterology Consultants., P.C.
  • General Information
  • Notice of Privacy Practices

• Medical Update - Follow-up Colonoscopy
• Medical Update - Follow-up Upper Endoscopy

Georgia Endoscopy Center Forms

If you are scheduled for a procedure at Georgia Endoscopy Center, please complete the forms below.

Patient Forms Packet

• Patient Forms Packet

Individual Forms

If you need an individual form from the Patient Forms packet, please choose that form below.

• Patient Information
• Medical Information Authorization
• Pre-Procedure Anesthesia Evaluation
• Patient Rights and Responsibilities