About Us
Services
EGD  |   Colonoscopy
For Patients
For an EGD (upper GI tract) procedure  |   For a Colonoscopy (lower GI tract)  |   Facility Tour
Physicians
Donald A. Cole, M.D.  |   Chris White, M.D.
Forms
Insurance/Billing
Directions
Testimonials
FAQs
Contact Us

Patient Forms

If you need assistance in completing the forms, please call Sandra at (615) 466-9532.

  • Advance Directives
  • Patient Welcome Letter
  • Patient Signature Form
  • Medical Reconciliation Form
  • Payment Information
  • CareCredit Information
  • Patient Rights and Responsibilities
  • Assignment of Benefits

Contact Us

Lebanon Endoscopy Center
100 Physicians Way
Suite 340
Lebanon, TN 37090
Phone: 615-466-9532
Fax: 615-466-9536
sandrab@healthmarkpartners.com

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