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We understand that your time is valuable, and in order to expedite your first visit, you can download our forms, print and fill them out prior to coming in for your appointment. Along with the necessary forms, please bring your health insurance card, photo identification, a friend or family member, a list of all the medications you are taking, and copies of pertinent records from doctors.  Please contact us with any questions you may have by calling one of our local offices HERE. 

 

For your convenience, we have provided you with the necessary forms to help your experience with us to be as comfortable as possible. Please click on any of the forms that apply to you and you can view them in a PDF format:  

 

Endoscopy
(en-DOSS-kuh-pee)
Endoscopy is a procedure that uses a small, flexible tube with a light and a camera on the end to look into the esophagus, stomach, duodenum,colon, or rectum. It can also be used to take tissue from the body for testing or to take color photographs of the inside of the body.

 

Colonoscopy
(KOH-lon-OSS-kuh-pee)
Colonoscopy is a procedure used in the screening and prevention of colorectal cancer. It is the test that most physicians, including gastroenterologists, recommend as the single best screening exam for colorectal cancer. It is the only method that combines both screening and prevention, because the doctor can remove pre-cancerous polyps during the procedure.


MiraLax/Gatorade{Generic Name: polyethylene glycol 3350}
(pol ee ETH il een GLYE kol)
MiraLax/Gatorade is a laxative solution that increases the amount of water in the intestinal tract to stimulate bowel movements.

altINSTRUCTIONS FOR COLONOSCOPY: MIRALAX/GATORADE

 

Halflytely Prep {Generic Name: Polyethylene Glycol/Electorlytes}
(pol-ee-ETH-i-leen GLYE-kole/e-LECK-troe-lites)
Halfytely Prep is a laxative that stimulates bowel movements. This medication also contains potassium, sodium, and other minerals to replace electrolytes that are passed from the body in the stool. HalfLytely is used to clean the bowel before intestinal procedures.

altINSTRUCTIONS FOR COLONOSCOPY: HALFLYTELY PREP

 

NuLytely Prep {Generic Name: Polyethylene glycol electrolyte}
(pall-ee-ETH-il-een GLYE-kol-ee-LEK-troe-lyte)
NuLytely Prep is a laxative solution that increases the amount of water in the intestinal tract to stimulate bowel movements. This medication also contains potassium, sodium, and other minerals to replace electrolytes that are passed from the body in the stool. NuLytely Prep is used to clean the bowel before intestinal procedures.
altINSTRUCTIONS FOR COLONOSCOPY: NuLYTELY PREP

 

MoviPrep {Generic Name: Polyethylene Glycol/Electrolyte}
(pall ee ETH il een GLYE kol ee LEK troe lyte)
MoviPrep is a laxative solution that increases the amount of water in the intestinal tract to stimulate bowel movements. This medication also contains potassium, sodium, and other minerals to replace electrolytes that are passed from the body in the stool. MoviPrep is used to clean the bowel before intestinal procedures.

altINSTRUCTIONS FOR COLONOSCOPY: MOVIPREP

 

Citrate of Magnesia{Generic Name: Magnesium Citrate}
(mag-NEE-zee-um SEYE-trate)
Magnesium Citrate Solution is a laxative. It works by attracting and retaining water in the intestine, which allows the bowel to evacuate.

altINSTRUCTIONS FOR COLONOSCOPY: CITRATE OF MAGNESIA

     

We are privileged to provide our patients with the highest standards of quality care and experience. Please click on the following files to download, print and take with you on your first visit.

CLICK HERE to print out our KIOSK in-take forms.

   
     
Estamos privilegiados en proveer a nuestros pacientes con la calidad más alta en cuidado personal y en su experiencia en nuestra oficina. En UGI, nuestra prioridad es en la comodidad y conveniencia de los pacientes. Para poder acelerar tu cita inicial, hemos proporcionado los siguientes materiales. Por favor en bajar nuestros formularios, revisarlo y oprimirlo antes en visitar nuestra oficina.
   
      Por Favor Oprima Aqui para los Formularios para Pacientes    
           
         
           
      For Frequently Asked Questions about Digestive Diseases CLICK HERE