Colonoscopy

Colonoscopies are performed by our Saint George Providers. For a colonoscopy in Utah County, please call our Provo office for a referral.

• Step 1

  

  Register for Colonoscopy

  Step 1

  Register for Colonoscopy

  Patient Full Name:
  

  Patient DOB:
  

  Patient Weight:
  

  Patient Height:
  

  Patient Phone Number:
  

  Name of Insurance (If Applicable):
  

  Insurance I.D. Number (If Applicable):
  

  Is the Patient Diabetic?
   yes no

  Is the Patient Allergic to Latex?
   yes no

  Is the Patient taking blood thinner medication?
   yes no

  Has the Patient had previous infection (MRSA, Hepatitis C, etc)?
   yes no

  Does the Patient have any allergies to medications?
   yes no

  Referring Doctor:
  

  What is the Patient's Diagnosis from the referring physician?
  

  What is this?

  If you don't know your diagnosis please contact your primary care physician, We are required to pass this information to the facility where your procedure will be performed.

  If applicable, When was the patient’s last colonoscopy completed?
  

• Step 2

  

  Wait for our call from our surgery scheduler

  Step 2

  Within two business days, our surgery scheduler will give you a call to follow up on your registration.

  She will review your registration form, ask any follow up questions, schedule a date, and prepare your packet for pick up.

  While waiting for her call (which often can be sooner), be sure to review the colonoscopy preparation instructions and write down any questions you might have.

• Step 3

  

  Come into our office to complete registration

  Step 3

  After you speak to our surgery scheduler, you will be instructed to come into the office to complete your registration and pick up your packet from the facility where you will be having your procedure (Dixie Regional or Coral Desert Surgery Center).

  You can drop by at your convenience during regular business hours. Just be sure to bring your government issued I.D. and your insurance card.

  Why do we have you come into the office?
  For your safety, we find this is the most secure and accurate way for us to collect your sensitive information such as your social security number and insurance information. We also are required to have you fill out paperwork from the facility where your procedure will be performed. All that information will be contained in your packet.

• Step 4

  

  Our surgery scheduler will submit orders to the facility

  Step 4

  Once you’ve come in to the office, our surgery scheduler will submit the orders to the facility.

  In the meantime, you should complete the paperwork given to you in the packet from the facility.

  Follow up questions can be emailed to our surgery scheduler (jmakanoa@utahsurgical.com)

• Step 5

  

  Download and complete colonoscopy preparation

  Step 5

  Now it’s time for you to get prepped for your colonoscopy.

  To do that, check out the video above and then download or print off the PDF summary below.

  *Remember your preparation is key to a successful colonoscopy*

  
  Gatorade Prep Instructions

• Step 6

  

  Find out the time and confirm the location of your procedure

  Step 6

  On the day before, (while you are completing your gatorade prep) you will need to find out the time your procedure is scheduled for the next day.

  Surgery dates are determined by the patient and the surgeon, however, surgery times are determined by the facility. The facility does its best to optimize the surgeon’s schedule based on number of patients, diabetics, children, complexity and length of cases. Because of these factors, surgery schedules, and therefore, times cannot be finalized until the day prior to surgery. We apologize for any inconvenience this may cause.

  Depending on the Facility packet you picked up in our office, follow the directions below for your corresponding facility.

  Coral Desert Surgery Center
  Please Call (435) 674-5230 between
  10:00-1:00 the day before to find out your arrival time.

  Dixie Regional Medical Center
  Someone will call you the day before with your arrival time.

• Step 7

  

  Now you are ready for your Colonoscopy

  Step 7

   

  Congratulations!

  We look forward to seeing you at your procedure.

  Still got questions?

  Email us at jmakanoa@utahsurgical.com

   

• FAQ

  

  Colonoscopy FAQs