Intake Forms and Practice Policies
Please help us get to know you a bit better.
Your cooperation with completing your intake forms prior to your appointment is appreciated.
Copies of our practice policies (Privacy, No-Show, Billing and Collections) are also available here.
Please complete this intake form if you are seeing Dr Alexis in the office for a consultation.
Please choose this form if you are going to have a "direct set up" colonoscopy.
Bowel prep instructions can be found below.
Our Privacy, Billing/Collections, No-Show Fees, and Telehealth practice policies are here for your reference.
Please use this LINK to securely share documents (insurance cards, medication lists, prior medical records, etc) with your care team.
Please complete this form to authorize release of medical records from a 3rd party or a non-referring physician on your care team.
Patient Instructions
Pre-operative, Bowel Preparation, and Post-operative instructions for patients and their caregivers.
Peri-operative care instructions for general surgery:
Hernia Repair, Gall Bladder Surgery, Colon Surgery, biopsies etc.
Peri-operative instructions for breast surgery: Biopsies, Partial Mastectomy, Mastectomy, Lymph Node Surgery, etc
Instrucciones de preparación intestinal de dosis dividida de Miralax
SuPrep Split-Dose Bowel Preparation Instructions.
(requires Rx)
Instrucciones de preparación intestinal de dosis dividida de SuPrep (requiere receta "Rx")
Colonoscopy Results
How to interpret your colonoscopy results.