Patient Resources

NEW Patient - Patient Form Package (Please fill out and bring with you)
  

Screening History - Download/View/Print (PDF)
Medication List - Download/View/Print (PDF)
Privacy Information (HIPAA) - Download/View/Print (PDF)
Patient Info/Insurance Form - Download/View/Print (PDF)

 

Est. Not seen in 3 years - Patient Form Package (Please print and bring with you)


Screening History - Download/View/Print (PDF)
Medication List - Download/View/Print (PDF)
Privacy Information (HIPAA) - Download/View/Print (PDF)
Patient Info/Insurance Form - Download/View/Print (PDF)

 

Est. Patient seen more than 1 year ago – (Please print and bring with you)

 

Medication List - Download/View/Print (PDF)

Patient Info/Insurance Form - Download/View/Print (PDF)

 

Established Patient – (Please print and bring with you)

 

Medication List - Download/View/Print (PDF)

 
Exam Preparations/Instructions
Colonoscopy Golytely - Download/View/Print (PDF)
Colonoscopy Miralax - Download/View/Print (PDF)
Colonoscopy Phospho Soda - Download/View/Print (PDF)
Flexible Sigmoidoscopy - Download/View/Print (PDF)
Hydrogen Breath Testing - Download/View/Print (PDF)
Paracentesis - Download/View/Print (PDF)
Ultrasound Appointment - Download/View/Print (PDF)
Upper Endoscopy - Download/View/Print (PDF)

Downloads
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6410 West Gulf to Lake Hwy
Crystal River, Florida 34429
Phone: (352) 563-2450

Hours: Mon-Fri  8am-4pm