Open Access Colonoscopy
This Program has been developed to meet an increasing demand for colonoscopy performed exclusively for screening for colorectal cancer. In the year 2017, estimated 135,000 new cases of colorectal cancer will be diagnosed in the United States, and approximately 50,000 people will die of this disease.
We have developed a web-based form that will automatically ask you all necessary questions to make your appointment and make the process as easy as possible.
Please fax your completed form to 281.396.4340 or email it to email@example.com.
You can also mail your completed form to our office at 23920 Katy Freeway, Suite 560, Katy, TX 77494.
Otherwise, see below for 4 steps to follow to schedule your colonoscopy.
Our Open Access Colonoscopy Program was developed for generally healthy patients who either decided to be screened on their own or who were advised to be screened by their doctors. These patients are not required to be seen in our office prior to a colonoscopic examination. Therefore, it is important for them to be familiar with details of the colonoscopic procedure and follow Steps 1-4 very carefully below. It is also very important for them to provide us with all pertinent and accurate health information before the decision for the procedure is made. All the necessary information is available in Steps 1-4 below.
Pre-colonoscopy Patient Questionnaire can be downloaded from the link below and submitted electronically for faster service. For additional information as well as to request the necessary documents and forms in the mail, please call 281-394-0266, 9:00 am – 5:00 pm Monday through Thursday, 9:00 am – 3:00 pm Friday.
It is important that all steps below are followed carefully, including reading the necessary files referenced on each step. It is up to you as the patient to read and follow the instructions carefully. To download the form for completion, you may need to download Adobe Reader from this link to the Adobe Web site.
The following package is arranged in consecutive steps, to make it straightforward and to take the minimum of your time.
STEP 1 Please, review general information about screening for colorectal cancer provided by Center for Disease Control and entitled “Colorectal Cancer: Facts on Screening”.
STEP 2 Please, carefully read the included brochure entitled “Colonoscopy”. It will provide you with information about the colonoscopic technique, its applications, and possible risks and complications.
STEP 3 Your colonoscopy will be performed by Dr. Andrzej Janecki. Dr. Janecki is an experienced gastroenterologist who has successfully performed over 16,000 colonoscopies.
STEP 4 Please complete the “Pre-colonoscopy Patient Questionnaire”. You will need Adobe Acrobat Reader to complete and/or print this document. If you do not have Adobe Acrobat Reader, you can download it for free from www.adobe.com. After completion, please carefully read and sign the Patient Statement which follows the Questionnaire. In the last step, you may indicate your preference as to the date and location of the procedure. NOTE: You may complete the form on your computer, save it and email it to us, or print it and mail it to us at 23920 Katy Freeway, Suite 560, Katy, TX 77494.
Once we receive the questionnaire via email or in person, you will be contacted by one of our employees within 3-5 business days. They will complete the pre-screening process and answer any questions you may have at that time. Please remember that you will be examined by Dr. Janecki prior to the procedure. At that time you will have the opportunity to discuss any remaining issues.
Appointment times vary and can be booked within a few days to a few weeks from the time of the request, depending on volume, so please send in the information as soon as possible so we can accommodate your schedule!
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