Digestive Health Center of Plano

New Patient Information

Please correct the errors described below.

INSTRUCTIONS

1. On the day of your exam please bring your insurance cards, a picture ID, and payment if applicable. We are not responsible for valuables, so please leave your jewelry and valuables at home.

2. Your physician's office will give you instructions on when to stop eating and drinking before your procedure. Follow your complete prep instructions when scheduled for a Colonoscopy or Flex Sig. Call your physician's office, if you have any questions regarding your prep.

3. Normally, you should only be at the center for a total of about 2 hours from the time you arrive until the time you are released. Please note times may vary depending on your physician's schedule.

4. For your safety, you will not be allowed to drive after sedation. Cabs and Public Transportation are not allowed unless you have a responsible adult with you (18 yrs or older). Your procedure will not be started until we speak with your driver.

5. Wear causal loose-fitting clothes and comfortable shoes. You may want to bring socks to keep your feet warm. A gown will be provided.

6. If you take daily medications for your heart, lungs, blood pressure, etc., take them as you normally would in the AM with a sip of water. Please talk with your doctor before the date of your procedure if you take aspirin, blood thinners, or insulin for instructions.

7. If you need to cancel your procedure for any reason, please contact your physician's office.

We are pleased that you have chosen Digestive Health Center of Plano for your upcoming procedure. Our center is licensed by the State of Texas and is fully equipped with the latest in medical technology. The center's staff is professionally trained to provide you with the highest quality care.

Digestive Health Center of Plano is located one block North of W. Parker Road on Preston Road.

Medication Reconciliation Form

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DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

This list is provided to you by the facility as an educational tool. We have noted all of the medications you stated you are currently taking including the medication your physician has prescribed. The list is prepared based on the information you have provided to us. This facility is not responsible to maintain, prescribe, or refill any of the above medications. Please call the office of the prescribing physician for medication refills or questions.

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