Patient Resources

New Patient Information and Forms

If you are new to Northwest Center for Colorectal Health, LLC (Colorectal Health NW), or if it has been 3 years since you were last seen by us, we request that you print out and complete all of the following forms and bring them with you to the office for your first visit.

If you are being seen for the first time for a condition of the anus or rectum and are not in pain, please do one fleets enema (available over the counter) one hour prior to your appointment.

Established Patient Information and Forms

If it has been over 6 months since you were last seen by Dr. Browning, Dr. Cavanaugh, or Dr. Manchio, please complete the Health Questionnaire and Patient Information Forms. If you were last seen by one of our doctors before 4/4/2011, please complete all the forms below and bring them with you to your appointment. Please also fax the completed Release of Information Form to our office (503-216-5399) as soon as possible before your visit so that we may access your prior records.

An enema is not necessary at follow up visits unless you are returning for a Flexible Sigmoidoscopy, pouchoscopy or in follow up or surveillance of removal of a rectal cancer or polyp.  If returning for one of these reasons, please do one fleets enema 2 hour before your appointment.

Colonoscopy Paperwork

Preparations For Procedures

After Procedure Care

Insurance Plans

  • Aetna
  • Blue Cross/Blue Shield Medicare Advantage
  • Blue Cross/Blue Shied PPP/PPO
  • Cigna Direct/Great West
  • Coventry/First Health
  • FamilyCare OHP
  • First Choice
  • HealthNet PPO/Indemnity
  • HealthNet Options Plus - Medicare+Choice
  • Humana
  • Lifewise
  • Medicare
  • Managed Healthcare NW - MHN PPO
  • Multiplan
  • ODS Health Plan (PPO, POS and OHP)
  • PacificSource
  • Providence (EPO, PPO, Medicare, Medicaid)
  • TriCare
  • United Healthcare/Pacificare/Secure Horizons

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