Airport Endoscopy CenterAirport Endoscopy Center

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Home / For Your Visit / Patient Forms

Patient Forms

At Airport Endoscopy Center, your time is as valuable to us as it is to you. That’s why we provide online access to a variety of forms that patients may complete before their visit. The following documents will help us expedite the check-in process for your appointment. Please take a moment to download and print the appropriate form(s).

Advance Directives

Download

AEC Direct Access Referral Form

Download

Billing Procedures

Download

Financial Agreement

Download

Patient and Insurance Information Record

Download

Patient Rights and Notification of Physician Ownership

Download
Patient Forms Insurance and Billing Express Scheduling Online Bill Pay Request an Appointment Your Visit
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Airport Endoscopy Center8110 Airport Boulevard, Suite A ,
Los Angeles, CA 90045

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