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Peak Gastroenterology Associates Colorado Springs
Peak Gastroenterology Associates Castle Rock
Front Range Endoscopy Centers
Castle Rock Adventist Hospital GI Lab
Colorado Springs Health Partners
Penrose-St. Francis
Memorial/University of Colorado Health

Peak Gastroenterology Associates Colorado Springs

Peak Gastroenterology Associates Colorado Springs

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Medical History

MedicalHistory[/themedy_col][themedy_col position=”b”]

HIPPA Privacy Form

Hippa Privacy Form[/themedy_col][themedy_col position=”c”]

Insurance Information

Insurance Information[/themedy_col][themedy_col position=”d”]

Financial Responsibilities

Financial Responsibilities
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 [gview file=”https://peakgastro.com/wp-content/uploads/2013/10/HIPPA-Privacy-Form1.pdf”]
[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Insurance-Information2.pdf”] 
[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Financial-Responsibilities2.pdf”] 
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Initial Visit Forms

Initial Visit Forms[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Initial-Visit-Forms1.pdf”][/themedy_col][themedy_col position=”b”]

Esophageal Testing Request Form

Esophageal Testing Request Form[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/PGA-Esophageal-Testing-Request-Form.pdf”][/themedy_col][themedy_col position=”c”] [/themedy_col][themedy_col position=”d”][/themedy_col][/themedy_columns]

Peak Gastroenterology Associates Castle Rock

Peak Gastroenterology Associates Castle Rock

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Initial Visit Forms

Initial Visit Forms[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Initial-Visit-Forms.pdf”][/themedy_col][themedy_col position=”b”]

Insurance Information

Insurance Information [gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Insurance-Information1.pdf”][/themedy_col][themedy_col position=”c”]

Medical History

MedicalHistory [gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Medical-History1.pdf”][/themedy_col][themedy_col position=”d”]

Financial Responsibilities

Financial Responsibilities[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Financial-Responsibilities1.pdf”><“][/themedy_col][/themedy_columns]

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Esophageal Testing Request Form

Esophageal Testing Request Form [gview file=”https://peakgastro.com/wp-content/uploads/2013/10/PGA-Esophageal-Testing-Request-Form.pdf”][/themedy_col][themedy_col position=”b”] [/themedy_col][themedy_col position=”c”] [/themedy_col][themedy_col position=”d”][/themedy_col][/themedy_columns]

Front Range Endoscopy Centers

Front Range Endoscopy Centers

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EGD Instructions

EGDInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/EGD-Instructions.pdf”][/themedy_col][themedy_col position=”b”]

GoLytely Instructions

GoLytelyInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/GoLytely-Instructions.pdf”][/themedy_col][themedy_col position=”c”]

Medical History

MedicalHistory [gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Medical-History.pdf”][/themedy_col][themedy_col position=”d”]

Miralax Instructions

MiralaxInstructions
[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Miralax-Instructions.pdf”][/themedy_col][/themedy_columns]

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Osmoprep Instructions

OsmoprepInstuctions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Osmoprep-Instructions.pdf”][/themedy_col][themedy_col position=”b”]

Procedure Consent

ProcedureConsent[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Acknowledgment-of-Forms.pdf”][/themedy_col][themedy_col position=”c”]

Suprep Instructions

SuprepInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Suprep-Instructions.pdf”][/themedy_col][themedy_col position=”d”]

Miralax Instructions Gastric Bypass

Miralax Instructions Gastric Bypass[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Miralax-Instructions-Gastric-Bypass.pdf”][/themedy_col][/themedy_columns]

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Anesthesia Services

Anesthesia Services[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Anesthesia-Services.pdf”][/themedy_col][themedy_col position=”b”]

EGD Consent

EGD Consent[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/EGD-Consent1.pdf”][/themedy_col][themedy_col position=”c”]

Colonoscopy Consent

ColonoscopyConsent[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Colonoscopy-Consent1.pdf”][/themedy_col][themedy_col position=”d”]

Advanced Directives

Advanced Directives[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Advanced-Directives.pdf”][/themedy_col][/themedy_columns]

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Notice of Patient Rights

Notice Of Patients Rights
[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Notice-of-Patient-Rights.pdf”][/themedy_col][themedy_col position=”b”]

Speak Up

Speak Up[/themedy_col][themedy_col position=”c”]

Scheduling Checklist

Scheduling Checklist[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Scheduling-Checklist.pdf”][/themedy_col][themedy_col position=”d”]

Financial Responsibilities

Financial Responsibilities[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Financial-Responsibilities.pdf”][/themedy_col][/themedy_columns]

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HIPPA Privacy Form

Hippa Privacy Form[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/HIPPA-Privacy-Form.pdf”][/themedy_col][themedy_col position=”b”]

Insurance Information

Insurance Information[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Insurance-Information.pdf”][/themedy_col][themedy_col position=”c”][/themedy_col][themedy_col position=”d”] [/themedy_col][/themedy_columns]

Castle Rock Adventist Hospital GI Lab

Castle Rock Adventist Hospital GI Lab

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EGD Instructions

EGDInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2014/11/EGD-Instructions.pdf”][/themedy_col][themedy_col position=”b”]

GoLytely Instructions

GoLytelyInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2014/11/GoLytely-Instructions.pd”][/themedy_col][themedy_col position=”c”]

Medical History

MedicalHistory[gview file=”https://peakgastro.com/wp-content/uploads/2014/11/Medical-History.pdf”][/themedy_col][themedy_col position=”d”]

Miralax Instructions

MiralaxInstructions
[gview file=”https://peakgastro.com/wp-content/uploads/2014/11/Miralax-Instructions.pdf”][/themedy_col][/themedy_columns]

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Osmoprep Instructions

OsmoprepInstuctions[gview file=”https://peakgastro.com/wp-content/uploads/2014/11/Osmoprep-Instructions.pdf”][/themedy_col][themedy_col position=”b”]

Procedure Consent

ProcedureConsent[gview file=”https://peakgastro.com/wp-content/uploads/2014/11/Procedure-Consent.pdf”][/themedy_col][themedy_col position=”c”]

Suprep Instructions

SuprepInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Suprep-Instructions.pdf”][/themedy_col][themedy_col position=”d”][/themedy_col][/themedy_columns]

Colorado Springs Health Partners

Colorado Springs Health Partners

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Preparation Instructions

Preparation Instructions
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pre-Procedure Instructions

Pre-ProcedureInstructions
[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Pre-Procedure-Questionnaire.pdf”][/themedy_col][themedy_col position=”c”]

EGD Consent

EGD Consent
[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/EGD-Consent.pdf”][/themedy_col][themedy_col position=”d”]

Colonoscopy Consent

ColonoscopyConsent
[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Colonoscopy-Consent.pdf”][/themedy_col][/themedy_columns]

Penrose-St. Francis

Penrose-St. Francis

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EGD Instructions

EGDInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/EGD-Instructions2.pdf”][/themedy_col][themedy_col position=”b”]

GoLytely Instructions

GoLytelyInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/GoLytely-Instructions2.pdf”][/themedy_col][themedy_col position=”c”]

Medical History

MedicalHistory[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Medical-History3.pdf”][/themedy_col][themedy_col position=”d”]

Miralax Instructions

MiralaxInstructions
[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Miralax-Instructions2.pdf”][/themedy_col][/themedy_columns]

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Osmoprep Instructions

OsmoprepInstuctions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Osmoprep-Instructions2.pdf”][/themedy_col][themedy_col position=”b”]

Suprep Instructions

SuprepInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Suprep-Instructions2.pdf”][/themedy_col][themedy_col position=”c”]

Procedure Consent

ProcedureConsent[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Procedure-Consent.pdf”][/themedy_col][themedy_col position=”d”] [/themedy_col][/themedy_columns]

Memorial/University of Colorado Health

Memorial/University of Colorado Health

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EGD Instructions

EGDInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/EGD-Instructions3.pdf”][/themedy_col][themedy_col position=”b”]

GoLytely Instructions

GoLytelyInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/GoLytely-Instructions3.pdf”][/themedy_col][themedy_col position=”c”]

Suprep Instructions

SuprepInstructions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Suprep-Instructions3.pdf”][/themedy_col][themedy_col position=”d”]

Miralax Instructions

MiralaxInstructions
[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Miralax-Instructions3.pdf”][/themedy_col][/themedy_columns]

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Osmoprep Instructions

OsmoprepInstuctions[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Osmoprep-Instructions3.pdf”][/themedy_col][themedy_col position=”b”]

Colonoscopy Consent

ColonoscopyConsent[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Colonoscopy-Consent2.pdf”][/themedy_col][themedy_col position=”c”]

EGD Consent

EGD Consent[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/EGD-Consent2.pdf”][/themedy_col][themedy_col position=”d”] ERCP Consent[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/ERCP-Consent.pdf”][/themedy_col][/themedy_columns]

[themedy_columns structure=”25|25|25|25″][themedy_col position=”a”]Feeding Tube Consent[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Feeding-Tube-Consent.pdf”][/themedy_col][themedy_col position=”b”] Flexible Sigmoidoscopy Consent[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/Flexible-Sigmoidoscopy-Consent.pdf”][/themedy_col][themedy_col position=”c”] EGD Colonoscopy Consent[gview file=”https://peakgastro.com/wp-content/uploads/2013/10/EGD-Colonoscopy-Consent.pdf”][/themedy_col][themedy_col position=”d”] [/themedy_col][/themedy_columns]
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