• Skip to primary navigation
  • Skip to main content
Vermont Gastroenterology logo

Vermont Gastroenterology

Caring comprehensive diagnosis, treatment, and prevention of digestive diseases.

  • For Patients
    • Patient Resources
    • All FAQs
    • Patient Forms and Downloads
  • Procedures
    • Procedures Overview
    • Procedure FAQs
    • Procedure Prep Instructions
    • Colonoscopy
    • Upper Endoscopy (EGD)
    • Sigmoidoscopy
    • Capsule Endoscopy & Other Procedures
  • Our Physicians
    • All Physicians
    • Cory Halliburton
    • Alex John
    • David Schwartz
    • Alan Landau
    • Jacek Mysior
    • Fady Asslo
  • About
    • Our Practice
    • What is Gastroenterology?
    • Green Mountain Surgery Center
  • Contact/Directions
  • Patient Portal
  • Pay Your Bill
empty exam room

Patient Forms and Downloads

Find Your Pre-Appointment Forms and Procedure Prep Instructions Here

divider green

Thank you for visiting Vermont Gastroenterology for your medical care.

The following forms will need to be filled out prior your first office appointment at Vermont Gastroenterology. You may download and print these forms and either fax them, email them, or bring them with you to your office appointment.

Please note:

The forms should be sent to our office, even if your procedure will take place at Green Mountain Surgery Center.

Procedure Prep Instructions

Below is a list of preparation instructions for procedures commonly performed at our practice. Click on each link to download a prep instructions PDF.

  • SUFLAVE
  • Miralax
  • Nulytely
  • Suprep
  • Clenpiq
  • Upper endoscopy (EGD) Prep
  • Sigmoidoscopy Prep
  • H-Pylori Breath Test Instructions
  • 96 Hour PH Study Instructions

Patient Forms:

  • Patient Information Sheet
  • Initial Office Visit Consult Form
  • FormDr Procedure Patient Intake Form
  • FormDr Office Visit Patient Intake Form

Records Request Release Form

This form should be completed by you if you need your Vermont Gastroenterology Records sent to any location other than to your PCP.

  • Download the form
white angles
Green Mountains

Have questions about your upcoming appointment?

If you have questions about forms, scheduling, your upcoming appointment, payment, or any other topics related to our practice, please visit our FAQs page or call our office at (802) 864-7483.

Read Our FAQs
footer graphic

Helpful Links

  • Patient Portal
  • Pay Your Bill
  • Procedure Prep Instructions
  • Procedure FAQs
  • About Your Procedure
  • Directions to our office and facilities
  • Privacy Policy
MGMA Member Logo
Vermont Gastroenterology

875 Roosevelt Avenue

Suite 132
Colchester, Vermont 05446 


Phone: (802) 864-7483

Fax: (802) 660-4337
info@vtgastro.com

Contact Us

Copyright © 2025 Vermont Gastroenterology – 875 Roosevelt Avenue, Suite 132 – Colchester, Vermont 05446
Website by Stride Creative Group