Request an Appointment

To request an appointment at Gastroenterology Associates, fill out the form below and click “Submit.” We will contact you to schedule the appointment.

*Please note: This request form is only for requesting an appointment. If you have critical or timely information, please contact the office via phone. If you have a medical emergency, please call 911.

Reason for appointment *

Patient Name *

First

Last *

Last

Patient Date of Birth

Patient Address *

Patient City *

Patient State

Patient Zip *

Daytime Phone *

Email *

Cell Phone

My insurance is:

My primary care physician is:

My primary care physician phone is:

Your name (If you are scheduling this appointment on behalf of someone else)

Your relationship to the patient

Your phone number

How did you hear about Gastroenterology Associates of Ocala? *

If you are human, leave this field blank.

If you are not already registered for patient portal, please contact the office and request a portal invitation.

Ocala Office

1901 SE 18th Ave Ste 400
Ocala, FL 34471
(352) 732-8905
(352) 732-2440 fax

Ocala – West Office

9401 SW SR 200 Ste 103
Ocala, FL 34481
(352) 732-8905

Summerfield/The Villages Office

We’ve Moved! Now at:
17345 SE 109th Terrace Rd.
Summerfield, FL 34491
(352) 751-4885
(352) 751-5371 fax

Ocala Endoscopy Center

1160 SE 18th Pl
Ocala, FL 34471
(352) 732-8905

Lake Endoscopy Center

17355 SE 109th Terrace Rd
Summerfield, FL 34491
(352) 245-0846