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Patient Medical Questionnaire

Complete the Medical Questionnaire below to submit important information to our scheduling team:

Colonoscopy Scheduling

Our Direct Access Colonoscopy program allows you to schedule the procedure without the lengthy referral process.

Get Started

HIPAA Privacy Policy

Learn more about your protected health information through the Health Insurance Portability and Accountability Act (HIPAA).

Know Your Rights

Participating Insurance Plans

Jackson Siegelbaum participates in the following health plans:

  • Aetna/GEHA
  • Capital Blue Cross
  • Cigna
  • Geisinger
  • Highmark (Including BCBS out of State Plans)
  • Humana
  • Medical Assistance (Including Commercial Replacement Plans)
  • Medicare
  • Meritain
  • Tricare/Humana Military
  • United Healthcare/UMR
  • UPMC
  • VA CCN/Veterans Admin
  • Vibra Health

Some plans are part of a larger plan and may not be listed.

Our participation continues to grow, so contact your provider to determine coverage.

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Phone: 717-761-0930

West Shore – Main Campus:

423 North 21st Street,
Camp Hill, PA 17011

East Shore:

4387 Sturbridge Drive,
Harrisburg, PA 17110
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Jackson | Siegelbaum Gastroenterology and West Shore Endoscopy Center, PA.