Colon and Rectal Care Information & Forms

Patient Forms

Please complete and print these forms; bring them with you to your appointment:

Patient Information

Patient History

Nature of Your Problems


Prep Instructions

Please print and follow these instructions to prepare for your procedure:

Preparation for Procedure

Colonoscopy Preparation

Magnesium Citrate / Miralax Prep Instructions

Post Colonoscopy Instructions


Need a Ride to Your EvergreenHealth Colon and Rectal Appointment?

Check our list of community transportation resources.