Guardianship Information and Consent Forms
Concord Endoscopy Center
If you are a Legal Guardian for patient that is having a procedure at the Concord Endoscopy Center, please print and complete the following forms that coincide with the type of procedure that is being performed. Also, a copy of the Legal Guardianship paperwork is required.
If you are a Legal Guardian for patient that is having a procedure at Concord Hospital, please print and complete the following forms. Also, a copy of the Legal Guardianship paperwork is required.
Operative Procedure Consent
Once the forms have been completed, they can be mailed to:
GI Associates of NH
60 Commercial Street, Suite 404
Concord, NH 03301
Or faxed to: 603-228-7088
Or you can bring them with you on the day of your procedure.
If you have any questions, please contact the GI Associates of NH at (603) 228-1763.