Patient Forms
Here is the paperwork to be completed before you arrive for your procedure.
ALL PATIENTS, please complete and submit the Health History and Medication List prior to your appointment:
Click Here: Health History and Medications List
To Schedule a GI Procedure, please complete the following form:
Click Here: GI Scheduling Questionnaire
*Once the GI Scheduling Questionnaire is submitted, you will be contacted by the Harmony Surgery Center to schedule your procedure.
Preparation Instructions for your GI Procedure: (Please disregard this step if you are having your prep instructions delivered to you in a different manner – your scheduler will go over this with you.)
Colonoscopy:
Colo-Prep-Magnesium Citrate-Prep 2019 PDF
Upper Endoscopy: