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Patient Registration and Procedure Prep Forms

Select from the links below to print registration and procedure prep forms.  Please note we are not currently able to accept your paperwork through our website or via email.  If you have an office appointment, you should bring your completed paperwork to your appointment.  If you have a colonoscopy or other procedure scheduled, please fax your paperwork to (254) 537-0293 or mail it to us two weeks before your scheduled appointment.

 

Registration Forms

All files are in Adobe Acrobat® format.

If you are a new patient or have not been seen in more than one year, please print all four documents below.  Established patients please complete only the Visit Sheet.

Patient Information, page 1  (New patients)

Patient Information, page 2  (New patients)

Review of Systems Health Questionnaire  (New patients)

Visit Sheet  (New and Established patients)

 

Procedure Preparation Instructions

It is important that you follow your doctor's instructions carefully in preparing for your colonoscopy.  DO NOT follow any of the instructions below without your doctors instruction.  If you take any medications, be sure to contact our office 2 weeks prior to your scheduled procedure for specific instructions on taking your medications.

Gatorade®-Miralax® Preparation Instructions for Colonoscopy

Colyte® Preparation Instructions for Colonoscopy

EGD Preparation Instructions (upper endoscopy)

IF YOU ARE A DIABETIC...Print and review Diabetic Instruction Sheet.

 

Procedures at Waco Gastroenterology Endoscopy Center

Click Here to download Endoscopy Center information.