Schedule Colonoscopy

Instructions

Successful submission of this form will result in scheduling of a colonoscopy for the patient.
You can look up locations available at colonoscopyassist.com

PROCESS

After submission of the form, patient will be contacted by a patient navigator to :

1) Determine date and time preferences for an appointment
2) Obtain a medical history
3) Coordinate any referrals necessary
3) Disseminate prep instructions

It is advisable to make patient aware that a patient navigator will be reaching out to them to coordinate the scheduling of the procedure.
Alternatively, you may advise the patient to call 855-542-6566 immediately after submission of this form to expedite scheduling.