New Patients

Patient Forms, Map and Directions to Canton, OH Office

Welcome to Gastroenterology Specialists where “we’re winning the fight against colon cancer”. We have designed this page to help you during your first appointment with us. You will find directions, information about our facility and providers, and the necessary forms needed for your first appointment with us. If you have additional questions, please contact our office at 330-455-5011.

Thank you for trusting your digestive health to us. 

Quick Links:

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:

  • Listening 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.

Please do not forget to bring:

  • Insurance card or cards
  • Photo ID
  • Current list of medications and dosage

If you need to reschedule or cancel your appointment, please call our office as soon as possible, as this time has been reserved especially for you. Failure to call may result in a charge of $50.00.

Should you have any questions, please call our office: Monday through Friday between the hours of 8:15 a.m. and 4:00 p.m.

We look forward to meeting you and appreciate your cooperation in completing these forms.

After you have made your appointment with our scheduler, please print and complete the patient questionnaire.


Patient Forms

Please print and fill out these forms so we can expedite your first visit:

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


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.

Payment Options

Please see our Financial Coordinator for details.


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.