Other Procedures

Forms

formsNOTE:  You can click on any of the forms to open it in a new window.  You can also right click on the form and then click "Save As" to download it and save it.

For Referring Offices
Referral Request From
Participation List

Maps
Map
Google Map Links to All Locations

New Patient Forms
New Patient Packet- Must be completed before visit.

Medical Records/Notice of Policy

Notice of Privacy Policies
Medical Release Form
Privacy and Contact Auth

NextMD
NextMD – Patient Portal Guide

pH Study (Restech)
pH Study (Restech) Consent
pH Study (Restech) Patient Guidelines
pH Study (Restech) Brochure

Hemorrhoid Forms
Hemorrhoid Brochure
Hemorrhoid Post-Op Instructions

Video Capsule Endoscopy (VCE) Forms
VCE Prep Instructions

Colonoscopy Forms
Miralax Colon Prep Instructions

Miralax Split Colonoscopy Prep Instructions

2 Day Colon Prep Instructions

Prescription Preps For Patients Requiring Special Preparation

MoviPrep Prep Instructions
HalfLytely Prep Instructions
What to Expect During a Colonoscopy
*Battle Creek Endo Specific Pre-Op Formsto Complete
*Woodbridge Endo Specific Pre-Op Formsto Complete

EGD Forms
EGD Prep Instructions
What to Expect During an EGD
*Battle Creek Endo Specific Pre-Op Formsto Complete
*Woodbridge Endo Specific Pre-Op Formsto Complete

Preparation Instructions
Miralax Colon Prep Instructions (Most common)

Miralax Split Colonoscopy Prep Instructions

Colonoscopy 2 Day Prep Instructions
Colonoscopy Prescription Prep Instructions
EGD Prep Instructions
ERCP Prep Instructions
Liver Biopsy Prep Instructions
VCE Prep Instructions
Clear Liquid Diet

Educational Brochures
Reasons to Quit Smoking

KGH Office

1535 Gull Road, Suite 105
Kalamazoo, MI 49048
P: 269-385-9900
F: 269-385-2140
Click to Launch Map

DHC Office

3770 Capital Ave, SW, Suite B
Battle Creek, MI 49015
P: 269-385-9900
F: 269-385-2140
Click to Launch Map

Westside Office

6565 West Main Street, Suite C
Kalamazoo, MI 49009
P: 269-385-9900
F: 269-385-2140
Click to Launch Map