Patient Forms, Map, and Directions to Teaneck, NJ Office
If you are planning your first visit to DRS. SCHMIDT, MICALE, PALANCE, RIGOGLIOSO & LIN we look forward to meeting you and assisting you in your healthcare needs. To save you time, we’ve included the information you will need to find us and to expedite the routine paperwork. By reading this information ahead of time, it will enable you to jot down any questions you may wish to ask about our policies and procedures when you arrive for your visit.
Our practice is working together to realize a shared vision of uncompromising excellence in gastroenterology.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Please download and print the following NEW PATIENT PACKET. Complete all THREE of the forms prior to your visit and bring them to your appointment with your Photo Identification (driver's license), Insurance Cards, Referral (if necessary) and copies of any and all lab results or test results pertinent to your visit or performed within the last six months. You may also have your primary doctor fax your records to our office in advance of your appointment at 201-578-1699.
- NEW PATIENT PACKET - FORMS THAT ARE REQUIRED FOR YOUR APPOINTMENT
- RECORDS RELEASE REQUEST FORM
- NOTICE OF PRIVACY PRACTICES PAMPHLET
- RECALL QUESTIONNAIRE
- COVID 19 QUESTIONNAIRE
Other Forms Available
DIRECTIONS FOR TESTS COMMONLY PERFORMED IN THE MEDICAL OFFICE.
- SMALL BOWEL CAPSULE ENDOSCOPY
- BACTERIAL OVERGROWTH TEST
- HPYLORI BREATH TEST
- LACTOSE MALABSORPTION TEST
Insurance and Billing
Please contact our office to verify acceptance of your insurance plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure. We are happy to file insurance for your reimbursement as long as you are free to choose your own gastroenterologist.
Please see our Financial Coordinator for details.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.
Office visit or consultation please report to Suite 4C
Endoscopy or colonoscopy please report to Suite 3B.
Parking Instructions for all patients:
Designated parking, marked reserved for GI Associates ONLY is available immediately on the right as you enter the parking lot from Katherine Street. You may also park in any of the areas labeled Visitor, which are available around the perimeter of the parking lot. Additional spaces are also available on the lower level. These spaces are #35, #36, #37, #38 and are marked GI. Please do not park in a space that has a company name other than GI or Visitor; you will be at risk for being towed!
From Route 4 East or West
Exit Route 4 at the Teaneck Road Bergenfield Exit (This is important, since the Bergenfield Exit puts you north on Teaneck road). At the end of the ramp go straight. At the first light, make a left onto Selvage Avenue (The Teaneck Nursing Home will be on your left and St. Anasthasia church will be on your right). Make the first left onto Katherine Street and proceed into the parking area.
From Route 80 East
Take Route 80 to Exit 70 marked Teaneck/Leonia. This is just past the NJ Turnpike South Exit. Stay in the right lane. Go to the second turnoff marked 70B Teaneck follow the road to the second traffic light (make sure you stay towards the right as you approach the second light in order to enter the turn lane) and make a right onto Teaneck Road. Continue heading north on Teaneck Road to the 5th traffic light (as soon as you go under the route 4 overpass, you will approach this light). Make a left onto Selvage Avenue (The Teaneck Nursing Home will be on your left and St. Anasthasia church will be on your right). Make the first left onto Katherine Street and proceed directly into our parking lot.
From Route 17 North and South
Take Route 17 to Route 4 East and follow the Route 4 directions listed above.
From the Garden State Parkway – Northbound
Travel the Garden State Parkway to Exit 161, which puts you on Route 4 East. Please follow the Route 4 directions listed above.