• GI Scheduling Questionnaire

    This form must be filled out completely to be able to book a GI procedure at Boulder Medical Center.
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    Pick a Date
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    Pick a Date
  • What procedure are you looking to schedule?

  • Do you have any prior or current health problems?

    Answer the following sections below
  • After submitting this form, please call our office at 303-440-3216 to schedule your GI procedure.

    Thank You
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