Patient Forms
Release of Information
This form allows RGA to release the necessary information to your insurance provider. It also permits RGA to obtain medical records from your other physicians, including x-rays and hospital reports.
Privacy Notice
Protecting your medical privacy is one of the fundamental principles of the physician-patient relationship and of the utmost importance.
HIPAA Policy
At Rockford Gastroenterology Associates, protecting your privacy is a top priority. We strictly follow HIPAA regulations to ensure your personal and medical information remains secure and confidential at every step of your care.