Patient Forms

To expedite check-in at your initial appointment, please print the following forms, complete them, and bring them to your appointment.  If you have a question or need assistance, please contact us.  

Patient Info Form

Patient Consent & Privacy Notice Acknowledgement

Patient Medical History Form

Please bring these forms as well as the following items to your visit:

  • Insurance card(s)
  • Driver’s license or picture ID
  • A list of your current medications

Medical Records Requests

All requests for medical records will be handled confidentially and by our Medical Records custodian.  Here is our form authorizing the release of information to and from Bayou Surgical Specialists.

Medical Records Release Form

Patient Procedure Instructions

In preparation for your scheduled colonoscopy, please refer to the following bowel prep instructions.  View and print the instructions for the specific bowel prep your doctor advised you to use.  If you have a question or concern, please contact us.

Miralax Instructions

SUPREP Instructions

MoviPREP instructions

If you are having trouble with these documents or have any questions, please contact us.