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Forms & Procedure Instructions

New: click here to access Virginia colonoscopy prep instructions

Patient Registration & Policy Forms

  • Authorization to Release Medical Information Form  
    English
  • Billing Category Assignment of Benefits Form  
    English
  • New Patient Registration Packet  
    English | Español
  • Notice of Privacy Practices  
    English
  • PIF (Medical History Form)  
    English
  • Patient Financial Policy  
    English

DC Metro Colonoscopy Preparation Instructions

Please read and follow the instructions for the specific prep your provider has prescribed for you. Please visit your patient portal if you are unsure which prep you have been prescribed.

Clear Liquid Diet

Low Residue Diet

Other Procedure Preparation Instructions

  • EGD Prep Instructions  
    English |  Español |  Korean |  Russian 
  • High-Resolution Anoscopy Instructions  
    English
  • High-Resolution Anoscopy Instructions (Sedated)  
    English

Virginia Prep Documentation

  • Clenpiq Clear Liquid Prep for Colonoscopy  
    English
  • EGD Prep Instruction  
    English
  • Osmo Prep Clear Liquid Kit for Colonoscopy  
    English 
  • Peg Prep Clear Liquid Kit for Colonoscopy  
    English | Arabic |  Tagalong
  • Plenvu Clear Liquid Prep Kit for Colonoscopy  
    English