Patients
Initial Visit Forms
In order to see you more efficiently when you visit your surgeon, please fill these forms out prior to your arrival and bring them with you. To make your visit easier, please bring any records, documents, pathology or colonoscopy reports from your referring physician’s office. You may also fax them to the office 2 days in advance to (210) 490-0505.
- Health History Questionairre
- First Visit Tips
- Authorization to Release Records
- Referring Doctors List
- Insurance Financial Responsibility Policy
- Medicare Financial Responsibility Policy
- Notice of Privacy Practices (HIPAA)
- Receipt of Notice of Privacy Practices
- Patient Bill of Rights
- Registration Form
Patient Instructions
Please see the documents and instructions below that may help in the treatment of your disease.
- Anal Fissure Handout
- Anal Fissure Pathophysiology
- Bowel Management
- Management of Pruritis Ani
- Peri-Anal Skin Mangement
- Sources of Fiber
- Hemorrhoid Summary
Bowel Preparation
You may have been asked to prepare your bowel for surgery or a procedure. Similar instructions may have been given to you at your appointment. Be sure to follow the instructions carefully so that your surgery or procedure will go well. Call if you have questions.
Postoperative Instructions
It is important to understand what may happen after your surgery or procedure. The instructions below may help you. Prescriptions will NOT be refilled outside normal office business hours. Any prescriptions requested outside of office hours may not be called in to your pharmacy or prescriptions made for three (3) business days.
- Anorectal Postop Instructions
- Excision of Thrombosed Hemorrhoid
- IRC
- Laparoscopic Colectomy
- Patient Colectomy Pathway
- Walking Chart
- Postoperative Colectomy Instructions
- Rubber Band Ligation
Patient Education Information
- SILS – Single Incision Laparoscopic Surgery
- Outcomes of Anorectal Disease in a Health Maintenance Organization Setting
- Transanal Hemorrhoidal Dearterialization: A Systematic Review
- Anal Manometry
- Single-Port Laparoscopic Colectomy