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 for up-to-date instructions or to ask any questions. Want to learn more? Check out the FDA’s announcement regarding the recall here.

Miralax Prep Recall Instructions

Colonoscopy Prep Instructions

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

Miralax Prep Recall Instructions
Miralax Prep
Renal or CHF Miralax Prep
Golytely Prep
Two-Day Miralax Prep

Endoscopy Prep Instructions

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

Download the Instructions

SIBO Breath Test Prep

Download the Instructions