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  • Infusion Centers of Michigan

Patient Forms and Preparation Information

Medical Records Request

Procedure Preparation

View each of the procedures listed below and their corresponding preparation instructions. For your convenience, an insurance letter form and a collection of frequently asked questions are also provided below.

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Clear Liquid Diet

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EGD (Upper Endoscopy) Prep

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Endoscopic Retrograde Prep

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Enema

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Liver Biospy Prep

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Miralax Extended Dose Colonoscopy Prep

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Miralax Split Dose Colonoscopy Prep

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NPO

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Oral Electrolyte (Nulytely/Golytely) Colonoscopy Prep Split Dose

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Oral Electrolyte (Nulytely/Golytely) Colonoscopy Prep Extended Prep

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Preparation Procedures Frequently Asked Questions

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Prep with Miralax and Gatorade

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Suflave Split Dose Colonoscopy Prep

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Suflave Extended Colonoscopy Prep

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SuTab Split Dose Colonoscopy Prep

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SuTab Extended Colonoscopy Prep

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Mon – Fri:  7:30AM – 5PM

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517.332.1200

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Digestive Health Institute  complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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