Southwest Gastroenterology Forms and Preps Preps | Hospital Preps | Forms | Diets | Information Southwest Endoscopy Preps If the original Preps/Instructions have been misplaced or lost, please contact our office as soon as possible. We will provide you more information about which prep should be taken before your procedure. It is very important to follow the instructions completely to ensure the best possible exam. The following forms and instructions are provided below for your convenience. ENGLISH - MIRALAX SPLIT DOSE PREP DIABETIC MIRALAX SPLIT DOSE PREP MIRALAX WITH MAGNESIUM CITRATE DIABETIC MIRALAX WITH MAGNESIUM CITRATE DOUBLE MIRALAX BOWEL PREP DIABETIC DOUBLE MIRALAX BOWEL PREP MOVIPREP BOWEL PREP GOLYTELY SPLIT DOSE PREP GOLYTELY-EXTENDED BOWEL PREP SUPREP BOWEL PREP (EGD) ESOPHAGOGASTRODUODENOSCOPY PREP FLEXIBLE SIGMOIDOSCOPY PREP SPANISH - DOSIS DE PREPARACIÓN DE MIRALAX DIVIDIDO DOSIS DE PREPARACIÓN DIABÉTICA DE MIRALAX DIVIDIDO MIRALAX CON CITRATO DE MAGNESIO MIRALAX PARA DIABÉTICOS CON CITRATO DE MAGNESIO PREPARACIÓN INTESTINAL DE MIRALAX DOBLE PREPARACIÓN INTESTINAL DIABÉTICA DE MIRALAX DOBLE PREPARACIÓN DEL INTESTINO MOVIPREP DOSIS DE PREPARACION DE GOLYTELY DOSIS DE PREPARACION DE GOLYTELY-EXTENDIDO PREPARACIÓN DEL INTESTINO SUPREP PREPARACION DEL SIGMOIDOSCOPIA FLEXIBLE Hospital Preps Diabetic Medication and Diet Instructions Miralax with Magnesium Esophagogastroduodenoscopy (EGD) Prep Endoscopic Retrograde Cholangiopancreatography (ERCP) Prep Lower Endoscopic Ultrasound (EUS) Prep Upper Endoscopic Ultrasound (EUS) Prep Double Miralax Colonoscopy Prep Esophageal pH Monitoring/Esophageal Manometry Extended Golytely Colonoscopy Prep Flexsigmoidoscopy Prep Golytely Split Dose Colonoscopy Prep Miralax Gatorade Split Dose Prep MoviPrep Bowel Prep Patient Forms Online Forms New Patient Form Colonoscopy Intake Form Upper Endoscopy Intake Form Download Forms Southwest Gastroenterology Privacy Practices Medical Record Release Form Authorization to Discuss Medical/Financial Information Formularios De Antecendentes Personales Physician Referral Form Consent for Monitored Anesthesia Care Understanding Your Procedure Fees Southwest Endoscopy Informed Consent for Endoscopic Procedures Southwest Endoscopy Medication History Southwest Endoscopy Policy on Advance Directives Patient Responsibly and Instructions for Fibroscan Diet and Nutrition Diet for Gastroparesis FODMAP DIET Fiber in Foods Lactose Intolerance Lactose Intolerance (Spanish) Stomach Acid Reflux Diet Information CRH Hemorrhoidal Banding Notice of Privacy Rights Notice of Privacy Rights (Spanish) Patient Financial Policy Discharge Instructions Southwest Endoscopy Patient Rights Forms Contact Us Tele: 505-999-1600 Fax: 505-999-1650 ADDRESS 7788 Jefferson St NE Albuquerque, NM 87109 HOURS Mon: 7:30 AM - 5:00 PM Tue: 7:30 AM - 5:00 PM Wed: 7:30 AM - 5:00 PM Thu: 7:30 AM - 5:00 PM Fri: 7:30 AM - 12:00 PM Closed Saturday and Sunday Our Endoscopy Center opens at 6:30 am every week day Location 7788 Jefferson St NE Albuquerque, NM 87109 © Copyright Southwest Gastroenterology Associates 2020