OUR PRE-PROCEDURE FORM

Please complete your information and bring them to the clinic . When you arrive for your appointment please bring your insurance card, a referral (if required) from your primary care physician, and additional test results or pertinent medical records. We also suggest that you arrive 20 minutes early for your scheduled office appointment and 30 minutes early for your procedure.

Fill Form

Procedure Prep Instructions

Stop taking these meds:

  • Adipex
  • Atti-Plex
  • Fastin
  • Lomaira
  • OraVerse
  • Osymia
  • Phentermine
  • Regitine

Stop taking these meds:

  • Adipex
  • Atti-Plex
  • Fastin
  • Lomaira
  • OraVerse
  • Osymia
  • Phentermine
  • Regitine

Stop taking these meds:

  • Adipex
  • Atti-Plex
  • Fastin
  • Lomaira
  • OraVerse
  • Osymia
  • Phentermine
  • Regitine

Stop taking these meds:

  • Adipex
  • Atti-Plex
  • Fastin
  • Lomaira
  • OraVerse
  • Osymia
  • Phentermine
  • Regitine

Stop taking these meds:

  • Adipex
  • Atti-Plex
  • Fastin
  • Lomaira
  • OraVerse
  • Osymia
  • Phentermine
  • Regitine

Stop taking these meds:

  • Adipex
  • Atti-Plex
  • Fastin
  • Lomaira
  • OraVerse
  • Osymia
  • Phentermine
  • Regitine

Stop taking these meds:

  • Adipex
  • Atti-Plex
  • Fastin
  • Lomaira
  • OraVerse
  • Osymia
  • Phentermine
  • Regitine

Clear liquids = water, juice without pulp, sports drinks, Jello, popsicles, sodas, soup broth, tea, black coffee (sugar ok, NO creamer).

  • NO red dyes (red, dark blue, or dark purple colors)
  • NO milk or dairy products
  • NO alcohol

Bring a driver with you. NO public transportation, Lyft, or Uber.

FOR YOUR SAFETY, FAILURE TO FOLLOW THESE INSTRUCTIONS MAY RESULT IN YOUR PROCEDURE BEING CANCELLED.

Risk factors

What is a colonoscopy?

Colonoscopy enables your doctor to examine the lining of your colon (large intestine) for abnormalities by inserting a flexible tube as thick as your finger into your anus and slowly advancing it into the rectum and colon. If your doctor has recommended a colonoscopy, this brochure will give you a basic understanding of the procedure – how it’s performed, how it can help, and what side effects you might experience. It can’t answer all of your questions since much depends on the individual patient and the doctor. Please ask your doctor about anything you don’t understand.

What preparation is required for a colonoscopy?

The American Cancer Society believes that preventing colorectal cancer (and not just finding it early) should be a major reason for getting tested. Having polyps found and removed keeps some people from getting colorectal cancer. You are encourage…

Read More

Can I take my current medications?

The American Cancer Society believes that preventing colorectal cancer (and not just finding it early) should be a major reason for getting tested. Having polyps found and removed keeps some people from getting colorectal cancer. You are encourage…

Read More

What happens during colonoscopy?

The American Cancer Society believes that preventing colorectal cancer (and not just finding it early) should be a major reason for getting tested. Having polyps found and removed keeps some people from getting colorectal cancer. You are encourage…

Read More

What if the colonoscopy shows something abnormal?

The American Cancer Society believes that preventing colorectal cancer (and not just finding it early) should be a major reason for getting tested. Having polyps found and removed keeps some people from getting colorectal cancer. You are encourage…

Read More

What are polyps and why are they removed?

The American Cancer Society believes that preventing colorectal cancer (and not just finding it early) should be a major reason for getting tested. Having polyps found and removed keeps some people from getting colorectal cancer. You are encourage…

Read More

How are polyps removed?

The American Cancer Society believes that preventing colorectal cancer (and not just finding it early) should be a major reason for getting tested. Having polyps found and removed keeps some people from getting colorectal cancer. You are encourage…

Read More

What happens after a colonoscopy?

The American Cancer Society believes that preventing colorectal cancer (and not just finding it early) should be a major reason for getting tested. Having polyps found and removed keeps some people from getting colorectal cancer. You are encourage…

Read More

What are the possible complications of colonoscopy?

The American Cancer Society believes that preventing colorectal cancer (and not just finding it early) should be a major reason for getting tested. Having polyps found and removed keeps some people from getting colorectal cancer. You are encourage…

Read More

Request an appointment

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.

Request an appointment