Forms

The most trusted Ambulatory Surgical Center specializing in endoscopic procedures in Chula Vista

PATIENT FORMS

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time at the time of your visit. If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Please printout and complete the appropriate forms:

Alfa SC Health History

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Alfa SC Historial de Salud

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EGD INSTRUCTIONS

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EGD INSTRUCCIONES

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COLONOSCOPY INSTRUCTIONS

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INSTRUCCIONES COLONOSCOPIA

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Alfa SC Medication List

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Dr. Erick H. Alayo

Diplomate in Gastroenterology and Internal Medicine, Gastrointestinal and Liver Disease.

Dr. Tarek Hassanein

Board Certified in Internal Medicine, Gastroenterology and Transplant Hepatology.

Dr. Gregory J. Wiener

Board Certified in Internal Medicine and Gastroenterology.
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