(574) 217-0174
  • Make a Payment
  • Directions
Request an Appointment

Michiana Endoscopy CenterMichiana Endoscopy Center

  • For Patients
    • Keeping You Safe During COVID-19
    • Patient Forms
    • Insurance and Billing
    • Express Scheduling
    • Frequently Asked Questions
    • CareCredit
    • Request an Appointment
  • Physicians
  • Our Procedures
  • Conditions
  • About Us

Patient Forms

At Michiana Endoscopy Center, your time is as valuable to us as it is to you. That’s why we provide online access for your preparation instructions. Should you have any questions, please give us a call at (574) 271-0893.

Colonoscopy Instructions: GoLytely/NuLytely/Trilyte (Spanish Version)

Download

Colonoscopy Instructions: GoLytely/NuLytely/Trilyte

Download

Colonoscopy Instructions: HalfLytely Prep

Download

Colonoscopy Instructions: Movi Prep (Spanish Version)

Download

Colonoscopy Instructions: Movi Prep

Download

Colonoscopy Instructions: Prepopik (Spanish Version)

Download

Colonoscopy Instructions: Prepopik

Download

Colonoscopy Instructions: SuPrep (Spanish Version)

Download

Colonoscopy Instructions: SuPrep

Download

Colonoscopy Instructions: Magnesium Citrus Prep

Download

Upper Endoscopy Instructions (Spanish Version)

Download

Upper Endoscopy Instructions

Download

Liquid Diet-Colonoscopy

Download
Keeping You Safe During COVID-19 Patient Forms Insurance and Billing Express Scheduling Frequently Asked Questions CareCredit Request an Appointment
  • Contact Us
  • Notice of Nondiscrimination
  • Notice of Privacy Practices
  • Internet Privacy Policy
  • Terms of Service
  • Billing Disclosure

Michiana Endoscopy Center
53830 Generations Drive ,
South Bend, IN 46635

© 2023 Michiana Endoscopy Center