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Edward J. Share MD, Gastroenterologist LA Gastro - Dr. Edward J. Share, Los Angeles, CA
Please read and complete all these forms regarding your upcoming colonoscopy procedure. Please call the office if you have any questions.

You may fill out and file all the forms online, securely. Alternatively, you can print the blank forms, fill them out, and bring them with you when you see Dr. Share.

As you read and complete each form a red check mark will appear next to that form. When you have completed all of them, the 'File Package Electronically' button will activate, and you can complete the process.

Start by filling in your full name and Date of Birth ...

Contact Dr. Share

Office
8631 West Third Street
Suite 1015E
Los Angeles, CA 90048
[ map ]

Telephone
310-652-4472
Fax 310-358-2266
Edward J. Share MD, Gastroenterologist
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Edward J. Share MD, Gastroenterologist Patient Demographics  
Edward J. Share MD, Gastroenterologist Patient Medical History  
Gastroenterology and Internal Medicine Privacy Statement (electronic signature required)
Edward J. Share MD, Gastroenterologist Billing Entities (electronic signature required)
Edward J. Share MD, Gastroenterologist Blue Cross and Anesthesia (electronic signature required)
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Date of Birth:
   
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