The Oregon Clinic, West Hills Gastroenterology Colonoscopy Constipation Preparation Instructions (Gatorade/miralax)

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Welcome to The Oregon Clinic, West Hills Gastroenterology and our Easy Access
Program! We are very glad you have chosen us to provide your gastrointestinal care.
Please check the attached preparation instructions for your appointment date and time.
We will be contacting you 5-7 days prior to your procedure to go over your preparation
instructions in detail, and to answer any questions you may have.
To facilitate our registration and check-in process, we ask that you fill out in advance the
“Medical History” form, and bring this with you to your appointment. This double-
sided form is located at the end of this packet. You may either bring your medication
bottles with you to your appointment or a detailed list of your medications. Also, please
bring your insurance card and photo identification. We strongly encourage you to
contact your insurance company prior to your upcoming visit to verify your coverage and
benefits for your scheduled appointment.
Please be aware that the Easy Access Program may not be appropriate for everyone. If
you have any of the following medical problems, please contact us immediately to
discuss if Easy Access Colonoscopy is right for you.
 Blood in stool/Hemoccult
 On Coumadin or Plavix
 Require the use of Oxygen
Positive stools
 Diarrhea
 Severe COPD
 Abdominal Pain
 Heart Failure or Renal Failure
 Insulin Dependent Diabetes
 Severe Constipation
Check-in is at The Oregon Clinic, West Hills Gastroenterology Endoscopy Center,
located in Ste. 310.
Should you need to cancel or reschedule your procedure, please provide
3 business days notice to avoid being charged cancellation/reschedule fees.
Thank you again for choosing The Oregon Clinic, West Hills Gastroenterology. Should
you have any questions regarding your upcoming colonoscopy, please call our patient
503-517-9550
Easy Access Phone Line
.
Sincerely,
The Staff from The Oregon Clinic, West Hills Gastroenterology
RODGER A. SLEVEN, M.D.
• GEORGE KOVAL, M.D. • CHRISTOPHER R. CARTER, M.D
DIANE H. WILLIAMS, D.O. • DOUG SHUMAKER, M.D.
MICHAEL M. OWENS, M.D. • ALAN H. KAYNARD, M.D., PH.D. •
JEFFREY WEPRIN, M.D. DAVID GRUNKEMEIER, M.D.
CRISTIAN VALLEJOS, M.D. •
SARAH A. RODRIGUEZ, M.D. • GLENN M. EISEN, M.D., M.P.H. • SHANNON K. LEWIS, M.D.
C
9701 S.W BARNES RD. • SUITE 300 • PORTLAND, OR 97225 • (503) 297-8081 • FAX (503) 292-6601

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