07 5690 16618 Carrara Street, Benowa QLDMon–Fri 9:00–4:45
Gold Coast Endoscopy
Colonoscopy Consent FormInformation and consent for your colonoscopy and the removal of any polyps (polypectomy) — covering the procedure, preparation, risks and aftercare. Please read and sign before your admission.
Gastroscopy Consent FormInformation and consent for upper GI endoscopy (gastroscopy) and oesophageal dilatation — covering the procedure, preparation, risks and aftercare. Please read and sign before your admission.
Flexible Sigmoidoscopy Consent FormInformation and consent for flexible sigmoidoscopy examining the rectum and sigmoid colon — covering the procedure, preparation, risks and aftercare. Please read and sign before your admission.
EMR Consent FormInformation and consent for endoscopic mucosal resection (EMR) — explaining the additional risks and benefits of removing larger polyps or growths during your procedure. Please read and sign before your admission.
Diet Sheet — PICOPREP (Procedure Before 11am)Low-residue diet and PICOPREP bowel-preparation timetable for colonoscopy appointments before 11am, including medication instructions to follow beforehand.
Diet Sheet — PICOPREP (Procedure After 11am)Low-residue diet and PICOPREP bowel-preparation timetable for colonoscopy appointments after 11am, including medication instructions to follow beforehand.
Symptoms SheetA pre-appointment questionnaire covering your current symptoms, medical and family history, medications and lifestyle — please complete before your visit.

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