Patient Forms

Winchester Gastroenterology Associates

4 Easy Steps to Complete Your Patient Forms

  1. Click the button to open the file on your computer.
  2. Print the document.
  3. Fill out the form(s).
  4. Bring the completed form(s) with you to your appointment. No need to send them ahead of time.

We look forward to serving you!

Patient Intake Forms

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Magnesium Citrate “liquid” has been recalled due to Microbial Contamination.

Due to the recall, our exam prep instructions have changed. Please call our office at (540) 667-1244 to ask any questions. Want to learn more? Check out the FDA’s announcement regarding the recall here.

Magnesuim Citrate Recall Prep Instructions

Colonoscopy Prep Instructions

There are three different options. Please choose one set of instructions.

Magnesuim Citrate Recall Prep
Renal or CHF Miralax Prep
Golytely Prep

Endoscopy Prep Instructions

These instructions are for procedures at either Blue Ridge Endoscopy or Winchester Endoscopy.

Download the Instructions

Video Capsule Endoscopy Patient Documents

This file includes advanced beneficiary notice, prep instructions, and consent forms for a Video Capsule Endoscopy procedure with CapsoCam Plus.

Download the Documents

SIBO Breath Test Prep

Download the Instructions