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East Bay Endosurgery CenterEast Bay Endosurgery Center

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Patient Forms

At East Bay Endosurgery Center, your time is as valuable to us as it is to you. That’s why we provide online access to a variety of forms that patients may complete before their visit. The following documents will help us expedite the check-in process for your appointment. Please take a moment to download and print the appropriate form(s).

What do I need to bring the day of my procedure?

  • Any change of address, phone or email updates.
  • Your insurance card(s).
  • The contact information for your referring physician.
  • A current list of all medications and dosages.
  • A current list of any vitamins, herbs or supplements you’re currently taking.
  • A list of any known allergies.
  • If you’re younger than 18, you must have a parent or guardian accompany you to sign your paperwork.

Driving Directions to East Bay Endosurgery Center

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Diabetes Handout (English)

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Diabetes Handout (Chinese)

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Colonoscopy Trilyte Split Dose Prep Instructions (English)

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Colonoscopy Trilyte Split Dose Prep Instructions (Chinese)

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Colonoscopy Magnesium Citrate Prep Instructions

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Colonoscopy Trilte Morning Appointment Prep Instructions

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Colonoscopy 2-Day Prep Instructions

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EGD Prep Instructions

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Colon FAQ (Chinese)

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Colonoscopy SuPrep Instructions

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Flex Sigmoidoscopy Prep Instructions

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East Bay Endosurgery Center
300 Frank Ogawa Plaza, Suite 135,
Oakland, CA 94612

© 2023 East Bay Endosurgery Center