Forms & Preparation Instructions

To help streamline your visit, please review the documents related to your procedure and bring any completed forms with you to your appointment.

If you have any questions about which forms you need, don’t hesitate to contact us.

Forms & Preparation Instructions

To help streamline your visit, please review the documents related to your procedure and bring any completed forms with you to your appointment.

If you have any questions about which forms you need, don’t hesitate to contact us.

COLONOSCOPY

UPPER ENDOSCOPY

DOUBLE PROCEDURE
(Colonoscopy + Upper Endoscopy)

Please choose from the following procedures:
If you are unsure which bowel preparation you are required to take, please contact the office immediately.

SIGMOIDOSCOPY

ILEOSCOPY

POUCHOSCOPY

LDDI Anesthesia Questionnaire

If you are scheduled for any endoscopic procedure, you MUST fill out the Patient Anesthesia Questionnaire prior to your procedure. Please fax the completed form to (226) 289-0281 or email a scanned copy to info@lddi.ca. A copy of this form should be brought with you to your appointment unless specified otherwise by our office administrators.

COLONOSCOPY

UPPER ENDOSCOPY

DOUBLE PROCEDURE
(Colonoscopy + Upper Endoscopy)

PROCEDURE PREPARATION INSTRUCTIONS

Please choose from the following procedures:
If you are unsure which bowel preparation you are required to take, please contact the office immediately.

SIGMOIDOSCOPY

ILEOSCOPY

POUCHOSCOPY

LDDI Anesthesia Questionnaire

If you are scheduled for any endoscopic procedure, you MUST fill out the Patient Anesthesia Questionnaire prior to your procedure. Please fax the completed form to (226) 289-0281 or email a scanned copy to info@lddi.ca. A copy of this form should be brought with you to your appointment unless specified otherwise by our office administrators.