Patient Forms
Download and fill out the correct form at your convenience and bring them with you to your appointment. Click on each form to view and download.
New Patient Forms
New Patient Registration
New Patient Registration (Español)
BYU-I Student Information Form
(All BYU-I students must fill out the new patient information form. The BYU-I form is suggested but not required.)
HIPAA Confidentiality Statement
Release of Information
Release of Information (Español)
Pre-Operative Instructions
Pre-Procedure Instructions
Pre-Procedure Instructions (Español)
PillCam patient Instructions
Suprep (Español) Patient Instructions
Colonoscopy Suprep Instructions (English)
Magnesium Citrate Bowel Prep Instructions
Colonoscopy Suprep Instructions (Español)
Magnesium Citrate Bowel prep instructions (Español)
Colonoscopy SUTAB Instructions
Colonoscopy SUTAB Instructions
Post-Operative Instructions
EVLT Follow-Up Instructions
Post-Procedure Instructions
Post-Procedure Instructions (Español)