For your convenience, our patient forms are located below. Please download, print and complete the following forms so we can expedite your registration or use the patient portal link above:
- FULL New Patient Packet
- Medical History Form
- CFE Disclosure-Grievance Document
- Financial Assignment and Authorization Release
- Anesthesia Consent
- Patient HIPAA form
- Patient Information CFE
- Patient Rights Responsibilities
- CFE Disclosure (Spanish)
- Medication Reconciliation Sheet
- Advanced Directive (English)
- Advanced Directive (Spanish)
- Financial Hardship Application
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Co-pays and deductibles are due the day of your appointment.
Please contact our office to verify acceptance of your insurance plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure.
Please see our Financial Coordinator for details.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.
On the Day of Your Procedure
Once you arrive at our center, a front desk representative greets you verifies all your demographic and insurance information. Next a nurse will escort you to Pre-op where your medical history will be reviewed, vital signs taken and an IV started. You will be asked to change into a patient gown and IV fluids will begin to drip through your IV. Our chief of anesthesiology will also review your anesthesia evaluation, obtain consent for anesthesia and answer any questions you may have regarding anesthesia.
Once all the consents have been signed the circulating RN and anesthetist will bring you into the procedure room where together with the GI Tech will place several monitoring devices on your body, as well as a nasal canula for Oxygen. This equipment lets us monitor your heartbeat, blood pressure, and blood oxygen level during the procedure.
Next, the anesthetist and GI doctor meets with you to answer any of your questions and the circulating RN verifies your identity and procedure being performed in what is called a “Time Out”. Once you’re ready, anesthesia then administers an anesthetic agent through the IV. This medicine will allow you to sleep through the procedure. While sedated, the doctor will use a thin, flexible tube about the size of a finger, with a tiny video camera to send clear high definition pictures to a TV monitor. The doctor will remove any polyps, which could be pre-cancerous or a biopsy is done for anything abnormal or for other diagnostic purposes. Having a biopsy or a polyp removed is painless, because the inner lining of the colon has no pain receptors. The procedure itself usually takes 20 to 30 minutes.
After the exam, you’re taken to one of our state-of-the-art recovery rooms where you will be monitored until discharge by our team of professional and caring nurses. Once awake, a nurse will sit you up and give you something to drink. As soon as you feel OK your doctor will visit and describe how the exam went with you. Our chief of anesthesia will also check in on you to determine if you are recovered enough from anesthesia to go home. Once this happens and you have received your verbal and written post op instructions you are ready for your IV to be removed, get dressed and go home or out to breakfast!
- Next to Flemming's Steak House
- by SCAT Bus Stop