5701 Clarkston Ste 370Clarkston, MI 48346(248) 625-4055

Forms & Instructions

If you are experiencing any symptoms you will need to see one of our physicians for an office visit before any tests or procedures can be scheduled. We do not have any forms that need to be filled out for your new patient visit. However, it is helpful if you sign up for the Patient Portal prior to your visit.

ON THE DAY OF YOUR APPOINTMENT, PLEASE BRING:

  • Your Insurance card and driver's license
  • Current List of Medications
  • Your list of questions or concerns
  • Your co-pay

Screening Colonoscopy Patient Forms

For your convenience, an office visit is not necessarily required prior to scheduling a screening colonoscopy.  Please complete the following forms and return to our office to request a screening colonoscopy.

*please note if you are having any GI symptoms please call the office as you will need an office visit first.

If you need to schedule a screening colonoscopy

You need to fill the medical history form and send it back to us to be reviewed by our doctors.

In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.


Instructions for ENDOSCOPIC PROCEDURES

Contact Us

Endoscopic Solutions, PC 

(248) 625-4055
5701 Clarkston Ste 370Clarkston, MI 48346