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Gastroenterology Patient Check-In Forms

To expedite your check-in process, please print and complete forms below appropriate for your visit.

 

  Gastroenterology East Offices - Gateway, Milwaukie & Mill Plain WA  

Providers:  Benner MD, Bhardwaj MD, Bray MD, Brooks RD, Cosman NP, Deenadayalu MD,   C Fausel MD, R Fausel MD, Flora MD, Gilley NP, Heagy NP, Holden MD, James FNP, Keim PAC, Kim MD, Kinsman MD, Kiyasu MD, Lum MD, Phillips MD, Razzak MD, Regan MD, Savoy MD, Shen MD, Somogyi MD, Thompson PAC, Wang MD, Zhu MD

Gastroenterology West Office - Peterkort

Providers: Ader PA, Birbeck PAC, Caine PAC, Cline PAC, Crespo MD, Davies FNP, Eisen MD, Grunkemeier MD, Herman MD, Kaynard MD, Lee MD, Lewis MD, Maciolek PAC, Owens MD, Patnode RD LD, Rodriquez MD, Semmelroth PAC, Shumaker MD, Silverblatt MD, Sleven MD, Vallejos MD, Wang MD, Welbourn PAC, Weprin MD, Williams DO

Gastroenterology South Offices - Oregon City, Tualatin & Newberg

Providers: Anderson MD, Applebaum MD, Beilstein MD, Brooks RD, Cahill MD, Chang MD, Chen MD, Childers MD, Douglass MD, Duman MD, Kuhn ANP, Lew MD, Lichenstein-Hill NP, Murata PAC, Pascua MD, Patnode RD LD, Reckard PAC, Reddy MD, Schiele MD, Sheffield MD, Van Kleek MD, Woodward MD

  COLONOSCOPY Prep

UPPER ENDOSCOPY Prep                           (EGD, ERCP, Upper Endoscopic US)

LOWER ENDOSCOPY Prep                   (Flex Sig, Lower Endoscopic US)

pH Testing Instructions

Additional Instructions          

M2A- Capsule Endoscopy

Additional                        

 

  COLONOSCOPY Prep

UPPER ENDOSCOPY Prep                            (EGD, ERCP, Upper Endoscopic US)

LOWER ENDOSCOPY Prep (Flex Sig, Lower Endoscopic US)

pH Testing Instructions

Additional Instructions          

  COLONOSCOPY Prep

UPPER ENDOSCOPY Prep                           (EGD, ERCP, Upper Endoscopic US)

LOWER ENDOSCOPY Prep                  (Flex Sig, Lower Endoscopic US)

pH Testing Instructions

Additional Instructions                    

M 2A - Capsule Endoscopy