Patient Forms

Thank You For Choosing The Digestive Disease Clinic & Endoscopy Center!

In order to provide our patients with the best care possible and to expedite your visit  with us, the below links have been provided for the paperwork you may need for your appointment. You may simply download, print and complete the necessary forms for your scheduled appointment.

In addition to your paperwork, we do require you bring the following items at your scheduled appointment and/or procedure:

  • Photo ID
  • Insurance Card(s)
  • Co-Pay, Deductible, Co-Insurance

*Please arrive 15 minutes prior to your scheduled appointment

 

Patient Appointment Paperwork
New & Existing Patient Forms


Patient Procedure &  Prep Instructions

The below links provide procedure and prep instructions for our patients having a Colonoscopy or  EGD procedure.

Please refer to the link(s) for the procedure you have been scheduled for.

*When reviewing prep instructions, please ensure you are reviewing the instructions for the prep you have been given and the time of your scheduled appointment (AM or PM).

It is extremely important you read and thoroughly follow the Important Patient Instructions and your specific Prep Instructions.

If you have any questions regarding your procedure paperwork or prep instructions, please contact our office at 719-473-6115.

 

COLONOSCOPY
Colonoscopy Patient Paperwork

Colonoscopy Prep Instructions

AM Procedure:

PM Procedure:

          SUPREP Bowel Prep Instructions

 

EGD
EGD Patient Paperwork