Get Consent Form For Colonoscopy ... - Endovision Clinic

Completing the consent form for a colonoscopy is an essential step in ensuring your understanding and agreement for the procedure. This guide provides clear, step-by-step instructions to help you fill out the form accurately and confidently.

Follow the steps to complete the consent form successfully.

1. Click ‘Get Form’ button to obtain the consent form and access it for completion.
2. Begin with Section A, where you will provide your personal information. Fill in your name, address, date of birth, age, and gender, ensuring all details are accurate and clearly printed.
3. Identify if you have any of the specified implants or prior surgeries by checking the appropriate boxes and providing detailed descriptions where necessary.
4. Inform the clinic of any medications you are currently taking, allergies to medications, and any other illnesses that may impact the procedure.
5. In the procedure section, check the box for the procedure(s) that you will undergo, either colonoscopy or esophagogastroscopy, and indicate the date and your attending physician.
6. Read through Sections B and C carefully, which explain the nature of the procedures and the potential risks and complications associated with them. Make sure you understand these points.
7. In Section D, acknowledge the information provided regarding the outpatient facility versus hospital risks, confirming your understanding and acceptance.
8. In Section E, sign the consent indicating your agreement to undergo the procedure and consent to any tissue removal. Make sure to ask any remaining questions to the physician before signing.
9. Complete the billing information section, noting your coverage and any additional costs that may apply.
10. Lastly, sign the form, along with a witness signature if required, ensuring it is completed and ready to bring on the day of your procedure.
11. Once you have filled out and reviewed the form, you can save the changes, download, print, or share the completed consent form as needed.

Complete your consent form for colonoscopy online today to ensure a smooth process on the day of your procedure.