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 Patient Satisfaction Survey |
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Pre-visit forms are required for your visit to the Center. Please either complete these forms online and print them, or print them and fill them out by hand.
Please bring these completed forms with you on the day of your appointment.
Note: Completing these forms online WILL NOT retain any record of your personal information. It is
designed solely for your convenience, to help utilize your time with us most productively.
You will
have to print a second copy if you want to keep a record of this information. |
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 Notice of Privacy Practices |
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| Colonoscopy |
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| A colonoscopy involves the insertion of a lighted flexible tube, called a colonoscope, into the rectum. The tube is inserted so that the lining of the colon is visualized. Any area of the lining that appears abnormal may be biopsied; that is, a piece of tissue may be removed for analysis. In addition, growths of the colon, called polyps, may be removed (polypectomy) by the use of an electrified wire, called a snare. A colonoscopy is generally a safe procedure but carries several risks that include, but are not limited to, the following: bleeding from biopsy or polypectomy; perforation or puncture of the colon which would likely require an surgical operation to repair; and, contact colitis; that is, irritation of the lining of the colon from contact with the colonoscope. Serious complications of colonoscopy, such as perforation or bleeding, may require hospitalization, blood transfusions, or surgery.
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| EGD |
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| An EGD involves the insertion of a lighted flexible tube, called an upper endoscope, into the mouth. The tube is guided by direct vision into the esophagus, stomach, and duodenum so that the lining of the upper gastrointestinal tract is visualized. Any area of the lining that appears abnormal may be biopsied; that is, a piece of tissue may be removed for analysis. Areas that are bleeding may be cauterized to stop active bleeding or to prevent future bleeding. An EGD is a generally safe procedure but carries several risks that include, but are not limited to, perforation and bleeding. Serious complications of EGD, such as perforation or bleeding, may require hospitalization, blood transfusions, or surgery. |
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