Patient forms

New Patient Forms

In preparation for your visit with an GastroGroup and Endocenter provider, please print out and complete each of these forms and bring them with you to your appointment.

 

GIA PHI Release Auth.

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NPP Patient Acknowledgement

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Privacy Policy

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Colonoscopy and Other Procedure Prep Forms

In preparing for your GI Procedure use the appropriate prep form, as directed by your GastroGroup and Endocenter provider. Click the link below to view your form. If you have questions about your prep instructions or can find your prep from below, contact your provider.

 

Steps to Follow For Every Colonoscopy

Most people will not need to do anything differently this far in advance of a colonoscopy. However, review you medications with your doctor and ask for specific instructions if you take blood-thinners (like Plavix or Pradaxa).

Stop eating nuts, seeds, and popcorn.

Drink 8 glasses of water during the day and stop eating after midnight.

  • Begin a clear liquid diet, in addition to drinking 8 glasses of water during the day.
  • At 6pm, you will need to take the laxative preparation prescribed by your doctor according to the specific instructions.
  • Stay near the toilet after you begin taking the prep solution.

While some of the colonoscopy prep solutions are only taken the previous day, others will need to be repeated the morning of your exam. The instructions for each solution are below.

  • No smoking on the day of your procedure
  • Take any morning medications at least 3 hours before your exam with 4oz of water.
  • Stop drinking liquids 3 hours before your exam.
  • Bring a list of all your current prescription and over-the-counter medications
  • Arrange for a ride to and from the doctor

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