In-Person and Telehealth Visits are Available

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Visits by Video Conferencing with Doxy.me.


Telehealth appointments from the safety and comfort of your home. Call (925) 322-2372 or (925) 329-3723 to schedule.

INSTRUCTIONS

Patient Forms

Download forms

Procedure Preparation Instructions

Preparation Instructions

Patient Education

Helping you understand your condition is very important to us. 

Coming soon

patient forms

Welcome! To better serve you, we have multiple options for completing your paperwork before your appointment.  

Print them and bring them with you to your appointment; Email them to a staff member directly; or complete your forms online.


Patient Forms  can ONLY be emailed to us if the email consent form included in the packet is completed.


UPDATE: Complete your forms ONLINE with the link below.



New Patient Forms CDC updated 2022 (pdf)

Download

RETURNING PATIENT REGISTRATION (pdf)

Download

NOTICE OF PRIVACY PRACTICES CDC (pdf)

Download

COMPLETE YOUR FORMS ONLINE (docx)

Download






Patient Registration Forms updated 2023 (pdf)

Download

COMPLETE YOUR FORMS ONLINE (docx)

Download

RETURNING PATIENT REGISTRATION 2023 (pdf)

Download

Prepare for your PROCEDURE

To obtain the full benefits of the exam, the colon must be clean and free of stool.  It involves drinking a solution which flushes the colon clean. Prior to your exam, we will discuss your preparation and advise you about the use of regular medications during that time.



SAEI Endoscopy Center Patient Packet (updated 2024) (pdf)

Download

Clear Liquid Diet (pdf)

Download

Suprep Instructions (pdf)

Download

Sutab Instructions (pdf)

Download

Suflave Instructions (pdf)

Download

Clenpiq Instructions (pdf)

Download

Golytely (or similar) Instructions (pdf)

Download

Plenvu Instructions (pdf)

Download

Miralax Preparation Instructions (pdf)

Download

Moviprep Instructions (pdf)

Download

To download adobe acrobat reader

Adobe Acrobat Reader

In order to view or print forms you will need a pdf reader such as Adobe Acrobat Reader installed.

get acrobat reader

TELEHEALTH VIDEO APPOINTMENTS

Here is everything you need for your upcoming Telehealth Visit:

1. New Patients: Complete your New Patient Forms and return them via fax, USPS, or as a MyChart attachment BEFORE your visit. 

For those who wish to communicate by EMAIL, you must complete the email consent form included in you patient packet first to ensure that you understand and accept the risks of online communication. 


2.  Read the instructions below. Telehealth appointments are brief so please have everything that you need ready before your visit begins,  and check in 10 minutes before your start time. Make sure you click the test-call button when you check in to ensure your microphone and camera are enabled.


3. Click on the link below to check in for you appointment for either Dr. Mullen or Dr. Sharma. 

Doxy.me telehealth Instructions

Read these instructions before your telehealth visit to make sure you have a great experience.

We highly recommend performing the pre-call test to ensure your microphone and camera are enabled before the start of your visit.

Doxy,me INSTRUCTIONS

Check In for Dr. Mullen

CHECK IN

Check In for Dr. Sharma

CHECK IN

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