Forms / Procedural Instructions

New Patient / Health History Form

Special Instructions

• Blood Thinners
• Diabetic Medications
  

 Consent Forms

• Northern GI
• Glens Falls Hospital
• Saratoga Surgery Center
• Moses Ludington Hospital
• Advanced Beneficiary Notice
• Health Care Proxy / Power of Attorney
  

Northern GI

• UPPER GI ENDOSCOPY
• COLONOSCOPY (Morning)
• COLONOSCOPY (Afternoon)
• COLONOSCOPY AND UPPER GI ENDOSCOPY (Morning)
• COLONOSCOPY AND UPPER GI ENDOSCOPY (Afternoon)

Glens Falls Hospital

• UPPER GI ENDOSCOPY
• COLONOSCOPY (Morning)
• COLONOSCOPY (Afternoon) 
• COLONOSCOPY AND UPPER GI ENDOSCOPY (Morning) 
• COLONOSCOPY AND UPPER GI ENDOSCOPY (Afternoon)
• UPPER GI ENDOSCOPY AND GASTROSTOMY (PEG) PLACEMENT
• ERCP INSTRUCTION SHEET
• UPPER ENDOSCOPIC ULTRASOUND
• LOWER ENDOSCOPIC ULTRASOUND 
  

Saratoga Surgery Center

• COLONOSCOPY (Morning)
• COLONOSCOPY (Afternoon)
• COLONOSCOPY AND UPPER GI ENDOSCOPY (Morning)
• COLONOSCOPY AND UPPER GI ENDOSCOPY (Afternoon) 
• UPPER GI ENDOSCOPY

Moses Ludington Hospital

• UPPER GI ENDOSCOPY
• COLONOSCOPY (Morning)
• COLONOSCOPY (Afternoon)
• COLONOSCOPY AND UPPER GI ENDOSCOPY (Morning)
  
• COLONOSCOPY AND UPPER GI ENDOSCOPY (Afternoon)