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PATIENT PORTAL
American Society of Colon & Rectal Surgeons

Preparation For Your First Visit

  • Please have all insurance information available for our visit. A detailed medical history is required for all new patients.
  • You may eat and drink normally before your appointment.
  • Do not take any laxatives or purgatives by mouth.
  • Purchase two (2) saline Fleet Enemas (green and white box) from your local pharmacy or supermarket.
  • Two hours prior to your appointment time, administer the first enema according to the directions listed on the box.
  • One and one half (1 1/2) hours prior to your appointment time, administer the 2nd Fleet Enema.
  • DO NOT TAKE Enemas if Contraindicated on the Fleet Enema Box instructions.
  • You may complete our New Patient Forms in advance by downloading the documents below
    • Please print on white paper and bring completed forms to your appointment
Colon & Rectal Disease Center, dr. mahendra k. matta, mahendra matta, dr. matta, cincinnati, ohio  EHR HIPPA Agreement


Colon & Rectal Disease Center, dr. mahendra k. matta, mahendra matta, dr. matta, cincinnati, ohio  EHR Insurance Aggreement


Colon & Rectal Disease Center, dr. mahendra k. matta, mahendra matta, dr. matta, cincinnati, ohio  EHR Patient Registration


History & Physical  History & Physical


Colon & Rectal Disease Center, dr. mahendra k. matta, mahendra matta, dr. matta, cincinnati, ohio  Review of Systems


Colon & Rectal Disease Center, dr. mahendra k. matta, mahendra matta, dr. matta, cincinnati, ohio  Bowel Control Satisfaction Survey
 
colonoscopy

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