Peninsula Gastroenterology Medical Group, Gastroenterologists logo for print
Peninsula Gastroenterology Medical Group, Gastroenterologists
Redwood City: 2900 Whipple Ave | Suite 245 |Redwood City, CA 94062 • Phone: 650-365-3700
Mountain View: 2495 Hospital Drive | Suite 600 | Mountain View, CA 94040 • Phone: 650-964-3636

Due to COVID-19 concerns, PGI is providing telemedicine services.
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Dear Patient,
This form is required to release any of your medical information to your spouse, family, friends, physicians, attorneys, etc. Please complete at least one person or specify "None". Please note: if you state "None", we CANNOT release ANY information to anyone.

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I hereby give permission for representatives of Peninsula Gastroenterology Medical Group to release or discuss Protected Health Information (PHI) with the stated individuals on this form (listed above).


Atherton Endoscopy Center photo

Atherton Endoscopy Center


Map & Directions

While you are a patient at Atherton Endoscopy Center, our highly competent and professional staff will care for you. Everyone from the receptionist to the physician embraces our philosophy of patient-focused care. Above all, our staff is friendly and concerned for your comfort.