Resources for Patients
The following handouts are available to download and print. Additional handouts and patient guidelines for some of our most common procedures will be added soon, so please check back.
All resources are available in PDF format.
Download Adobe Reader.
| Trinity Center Resources | |||||
| Form for New Patients (Interactive) | Medical Records Authorization Form | ||||
| Form for New Patients (Basic) | Prescription Refill Form | ||||
| Gastroenterology Resources | |||||
| Dr. Kummer's Patient Forms: | Dr. Rajapaksa's Patient Forms: | ||||
| PEG Preparation for Colonoscopy | Colonoscopy Preparation Instructions | ||||
| HalfLytely® Preparation for Colonoscopy | 2-day Colonoscopy Preparation Instructions | ||||
| Phosphosoda Preparation for Colonoscopy | Colonoscopy: Day of Procedure | ||||
| Preparation for Upper G.I. Endoscopy | Colonoscopy with MoviePrep Instructions | ||||
| Preparation for Sigmoidoscopy | Upper Endoscopy Instructions | ||||
| Imaging Resources | |||||
| CT Scan: Questionnaire | |||||
| Internal Medicine | |||||
| Dr. Carron's Patient Forms: | |||||
| Medical History Form | Sending Protected Health Information | ||||
| Immigration Registration Form | Immigration Agreement | ||||
| Maternal-Fetal Medicine Resources | |||||
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