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91 Montvale Avenue, Suite 206 Stoneham, MA 02180(781) 518-9050
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Patient Forms

The following list of forms are available for you to print out to complete and bring with you to your procedure or appointment.  They are listed by the possible locations where we may have scheduled your procedure.  Any forms that are required for a particular location will be indicated as such.

DHA Endoscopy Center at Montvale Avenue     

  • Pre-Admission Questionnaire (Required)
  • Medication Reconciliation Sheet
  • Patient Rights Statement

Winchester Hospital GI Suite and Endoscopy Center at Commerce Way

  • Medication Reconciliation Sheet (Required)

Instructions/Preps

The following list of instructions and procedure preparations are available to help you prepare for your upcoming procedure with DHA.  Please follow instructions only for the specific prep that has been prescribed by your physician.

Colonoscopy Preparations

(Select one of the following, as instructed by your physicians' office)

  • Citrate of Magnesium
  • SUPREP
  • CLENPIQ
  • TriLyte, Nulytely or Golytely (Standard Dose) Prep
  • TryLyte, Nulytely or Golytely (Split-Dose) Prep
  • TryLyte, Nulytely or Golytely (Low Volume) Prep
  • Miralax G2 Split Prep

 

  • Low Roughage Dietary Recommendations
  • Low-Fodmap Diet

        
Upper GI Endoscopy/ Gastroscopy Preparation

  • Gastroscopy (Upper GI Endoscopy) Prep

Sigmoidoscopy Preparation

  • Sigmoidoscopy Prep
  • FAQ's
  • Helpful Links
  • Patient Portal 

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Learn More

  • Office Hours
  • Maps & Directions
  • Payment Information
  • New Patient Forms

Patient Education

Patient Education
  • Understanding Colon Cancer Screening
  • Make the Best Choice for Your Endoscopic Procedure
  • Understanding Upper Endoscopy
  • Understanding Endoscopic Ultrasonography
  • Understanding Colonoscopy
  • Understanding Flexible Sigmoidoscopy
  • Understanding Colon Polyps and Their Treatment
  • Understanding Esophageal Dilation
  • Understanding Capsule Endoscopy
  • Understanding Percutaneous Endoscopic Gastrostomy
  • Ensuring the Safety of Your Endoscopic Procedure
  • Understanding Diverticulosis
  • Understanding Esophageal Testing or Manometry
  • Understanding Minor Rectal Bleeding
  • ERCP
  • Understanding Bowel Preparation
  • Understanding Barrett's Esophagus
  • Understanding Gastroesophageal Reflux Disease

Locations

 

Endoscopy Centers

DHA Endoscopy
91 Montvale Avenue, Suite 103
Stoneham, MA 02180

Winchester Hospital Endoscopy Center
10P Commerce Way Woburn, MA 01801

Winchester Hospital 41 Highland Avenue
Winchester, MA 01890

Physicians Offices

Digestive Health Associates
91 Montvale Avenue, Suite 206 
Stoneham, Ma 02180 


 


Map & directions

Colorectal Cancer Awareness

Katie Couric colonoscopy video

Please click on the image above to access our secure Patient Portal, Follow My Health.

Gastroenterologist - Stoneham, DHA Endoscopy, 91 Montvale Avenue, Suite 206, , Stoneham MA, 02180 (781) 518-9050

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