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Patient Forms

At Central Coast Endoscopy Centers, your time is as valuable to us as it is to you. That’s why we provide online access to a variety of forms that patients may complete before their visit. The following documents will help us expedite the check-in process for your appointment. Please take a moment to download and print the appropriate form(s).

Health Questionnaire

Download

Patient Rights and Notification

Download

Anesthesia Consent Form

Download

What do I need to bring the day of my procedure?

  • Your insurance card(s).
  • Driver’s License or Photo ID.
  • A list of your current medications.
  • A portion of your procedure payment.
  • Leave valuables and jewelry at home.
  • Wear comfortable, warm, loose-fitting clothes.
  • Plan to arrive at the center 45 minutes prior to the procedure. You should expect a stay of two to three hours total.
  • Bring the name and phone number of the person (must be 16 years or older with a valid driver’s license) who will be taking you home. You will not be permitted to drive, take a taxi alone or leave the center without an adult chaperone.
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