Procedural Paperwork

INSTRUCTIONS FOR EACH FORM:

1) DOWNLOAD
2) PRINT
3) FILL OUT
4) Present COMPLETED FORM to the nurse on the day of procedure

IMPORTANT: WE DO NOT HAVE ACCESS TO FORMS COMPLETED ELECTRONICALLY.

YOU MUST PRINT THE FORMS AND HAND TO NURSE ON THE DAY OF YOUR PROCEDURE.

Advance Directive and Patient Rights Acknowledgement
Authority For Admission
Colonoscopy Preparation Instructions - Golytely
Colonoscopy Preparation Instructions - MoviPrep - Alternate
General Consent To Treatment
GI Patient Escort Acknowledgement
Insurance Form
Patient Comment Form
Privacy Act Statement
Procedural Sedation Form
 

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