Carolinas HealthCare System

Patient Forms

Insurance

We accept most major insurance plans including Medicare and Medicaid.

  • Prior to scheduling a procedure; every patient should contact their insurance benefits department to see if Carolina Endoscopy Centers Huntersville, Monroe, Pineville or University are in network with their insurance plans.
  • All of our scheduled endoscopy patients get prior authorization for their procedures through our insurance benefits department.
  • Self-Pay - We also work with patients who have special financial needs.

Patient Forms

 

Endoscopy Center Pre-Packet

Procedure Prep Instructions 

GoLytley / NuLytely

MirLAX

  • AM (PDF)
  • PM (PDF)

MoviPrep

  • AM (PDF)
  • PM (PDF)

OsmoPrep

  • AM (PDF)
  • PM (PDF)

SUPREP

  • AM (PDF)
  • PM (PDF)

EGD

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