Prep forms

Please select the prep form information indicated by your physician.

• Esophagogastroduodenscopy (EGD) Prep
• "The Easy Prep" with PEG 3350

Other Important Information

• Important information regarding your insurance benefits
• Low residue diet options

Pre-colonoscopy Examination Information

Please read all instructions at least 5 days before your colonoscopy examination. This will allow time for you to contact our office if you have any questions.

Please bring your current insurance cards on the day of your procedure.

You must have a driver present when you arrive for your procedure. Your driver must remain in the waiting room during your procedure. If you do not have a driver when you arrive for your procedure, be prepared to reschedule your appointment.

If you do not tolerate the prep, or if the prep does not cleanse your colon adequately, please call 219-736-4660 ext. 136 during business hours. After hours, please call 219-738-2081 (24 hour answering service) to talk to a physician. You will be given alternative instructions.

Individual responses to laxatives vary – this prep will cause multiple bowel movements. These movements may start as soon as 30 minutes or take as long as 3 hours. Please remain within easy reach of toilet facilities.

Please drink the amounts listed of clear liquids the day before the procedure. Gatorade is recommended, as long as it is not red. Please drink the amounts of liquids as instructed after the procedure is completed.

The nursing staff at the IMA Endoscopy SurgiCenter has been specially trained to assist the physician with your procedure. IMA Endoscopy SurgiCenter physicians and staff encourage your participation in your care. If you or your family have any concerns related to your care, treatment, services or patient safety while under our care, please discuss this with your physician or contact the Clinical Director/Administrator at 219-736-4660 ext. 138. If the issue cannot be resolved at this level, please contact the AAAHC at 847-853-6060; or the Indiana State Department of Health, Director of Acute Care, 2 North Meridian, Indianapolis, IN 46204; or by phone at 866-220-5810; or the Medicare Beneficiary Ombudsman at 800-MEDICARE, or online at www.cms.hhs.gov/ombudsman/resources.asp

IN THE EVENT THAT YOU NEED TO CANCEL THIS APPOINTMENT, PLEASE CALL 48 HOURS IN ADVANCE SO THAT WE MAY ACCOMMODATE ANOTHER PATIENT.

• IMA Endoscopy SurgiCenter Scheduler: 219-736-4662
• IMA Endoscopy SurgiCenter Nurses: 219-736-4660 ext. 136
• Internal Medicine Associates Office: 219-738-2081