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Intake Forms and Practice Policies

Please help us get to know you a bit better. 

Your cooperation with completing your intake forms prior to your appointment is appreciated. 

Copies of our practice policies (Privacy, No-Show, Billing and Collections) are also available here. 

Please complete this intake form if you are seeing Dr Kidd in the office for a consultation.

Please choose this form if you are going to have a "direct set up" colonoscopy.

Bowel prep instructions can be found below.  

Our Privacy, Billing/Collections, No-Show Fees, and Telehealth practice policies are here for your reference.

Please use this LINK to securely share documents (insurance cards, medication lists, prior medical records, etc)  with your care team. 

Please complete this form to authorize release of medical records from a 3rd party or a non-referring physician on your care team. 

Patient Instructions

Pre-operative, Bowel Preparation, and Post-operative instructions for patients and their caregivers. 

Image by Piron Guillaume

Peri-operative care instructions for anorectal surgery

Image by 99.films

In-office rubber band ligation procedure to treat hemorrhoids

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Image by Giorgio Trovato

Peri-operative instructions for inpatient colorectal surgery

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Instructions on how to use prescription creams for anal fissure treatment

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Chart Describing Types of Stool.  Number 4 is Ideal

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Peri-operative care instructions for pilonidal surgery.

Image by Laura Mitulla

Miralax Split-Dose Bowel Preparation Instructions.

(Click here for a picture

of what to purchase.)

Instrucciones de preparación intestinal de dosis dividida de Miralax

(Haz clic aquí para la imagen

de qué comprar.)

Glasses

SuPrep Split-Dose Bowel Preparation Instructions.

(requires Rx)

Image by engin akyurt

Instrucciones de preparación intestinal de dosis dividida de SuPrep (requiere receta "Rx")

Image by engin akyurt

Instrucciones de preparación intestinal de dosis dividida de SuPrep (requiere receta "Rx")

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