{"id":2643,"date":"2012-10-17T20:05:00","date_gmt":"2012-10-18T00:05:00","guid":{"rendered":"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/faculty-staff-website\/clinical-resources-1\/patient-consent-forms\/"},"modified":"2021-05-10T16:16:23","modified_gmt":"2021-05-10T20:16:23","slug":"patient-consent-forms","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/clinical-resources-1\/patient-consent-forms\/","title":{"rendered":"Patient Information Sheets"},"content":{"rendered":"<h4>Patient Information Forms<\/h4>\n<table style=\"border-collapse: collapse;width: 100%;height: 23px\">\n<tbody>\n<tr style=\"height: 23px\">\n<td style=\"width: 48.8793%\">Colonoscopy<\/p>\n<ul>\n<li>Miralax Prep:\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/HDF359920121114COLONOSCOPYstandardsplitprep.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/HDF3599Sstandardsplitprep.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><\/li>\n<li>Golytely Prep:\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/03\/golytely-instructions.rev-5.7.2021.pdf\">English<\/a><\/li>\n<li><span style=\"font-family: inherit;font-size: inherit\">Moviprep \u2013 <\/span><a style=\"font-family: inherit;font-size: inherit;background-color: #ffffff\" href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/colonoscopy-moviprep.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a><\/li>\n<li>Suprep \u2013\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/colonoscopy-preparation-suprep.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a><\/li>\n<li>Slow Preparation \u2013\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/Job2345HDF5132ColonoscopySlowPrep2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a><\/li>\n<li>Low Fiber Diet (Complete):\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/03\/low.fiber_.diet_.complete.rev-5.10.2021.pdf\">English<\/a><\/li>\n<\/ul>\n<p>Flexible Sigmoidoscopy<\/p>\n<ul>\n<li>Miralax Prep \u2013\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF36062013.01.24flexsigmiralaxsplitprep.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3606SFlexSigMiralaxSplitPrep.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><\/li>\n<li>Enema Prep \u2013\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF36052013.01.24flexsigENEMASONLY.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3606SFlexSigMiralaxSplitPrep.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><\/li>\n<\/ul>\n<\/td>\n<td style=\"width: 51.0345%;vertical-align: top\">\n<div>Upper Endoscopy (EGD): <a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF36032013.01.24EGD.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3603SEGD.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><br \/>\nEnteroscopy: <a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF36042013.01.24Enteroscopy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3604SEnteroscopy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><br \/>\nERCP: \u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF36022013.01.24ERCP.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3602SERCP.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><br \/>\nInfra-red Coagulation Therapy (IRC):\u00a0 <a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF36072013.01.24IRC.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3607SIRC.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><br \/>\nUpper Endoscopic Ultrasound (EUS):\u00a0 <a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF36112013.01.24UpperEUS.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3611SUpperEUS.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><br \/>\nLower Endoscopic Ultrasound (EUS):\u00a0 <a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF36082013.01.24lowerEUS.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3608SLowerEUS.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><br \/>\nOstomy Exam:\u00a0 <a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF36092013.01.24ostomyexammiralaxsplitprep.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3609SOstomyExamMiralaxSplit.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><br \/>\nPouch Exam:\u00a0 <a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3610PouchExamMiralaxSplitPrep12413.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3610SPouchExamMiralaxSplitPrep.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><br \/>\nVideo Capsule Endoscopy (VCE):\u00a0 <a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3610SPouchExamMiralaxSplitPrep.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3601Scapsuleinstructions.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Spanish<\/a><br \/>\nPatency Capsule: \u00a0<a href=\"https:\/\/www.med.unc.edu\/medicine\/files\/2018\/12\/HDF3844PatencyCapsuleInstructions52413.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h4>Consent Forms<\/h4>\n<table border=\"0\" cellspacing=\"20\" align=\"left\">\n<tbody>\n<tr>\n<td colspan=\"2\"><a title=\"\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2020\/06\/248sInformedConsentProcedureEnglish_3-2014_Logo.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">UNC HCS Generic Informed Consent Form<\/a><\/td>\n<\/tr>\n<tr>\n<td style=\"vertical-align: top\">\n<ul>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/A1CapsuleEndoEnglish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Capsule Endoscopy (English)<\/a><\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/A2CapsuleEndoSpanish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Capsule Endoscopy (Spanish)<\/a><\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/copy_of_A3ColonoscopyEnglish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Colonoscopy (English)<\/a><\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/copy_of_A4ColonoscopySpanish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Colonoscopy (Spanish)<\/a><\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/A5EGDEnglish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">EGD (English)<\/a><\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/A6EGDSpanish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">EGD (Spanish)<\/a><\/li>\n<li><a title=\"\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/ERCPConsentEng.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">ERCP (English)<\/a><\/li>\n<li><a title=\"\" href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/ERCPConsentSpa.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">ERCP (Spanish) <\/a><\/li>\n<\/ul>\n<\/td>\n<td style=\"vertical-align: top\" valign=\"top\">\n<ul>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/A7FlexSigEnglish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Flexible Sigmoidoscopy (English)<\/a><\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/A8FlexSigSpanish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Flexible Sigmoidoscopy (Spanish)<\/a><\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/A9LiverBiopsyEnglish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Liver Biopsy (English)<\/a><\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/A10LiverBiopsySpanish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Liver Biopsy (Spanish)<\/a><\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/A11PEGEnglish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">PEG (English)<\/a><\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-content\/uploads\/sites\/994\/2019\/04\/A12PEGSpanish.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">PEG (Spanish)<\/a><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Patient Information Forms Colonoscopy Miralax Prep:\u00a0English\u00a0|\u00a0Spanish Golytely Prep:\u00a0English Moviprep \u2013 English Suprep \u2013\u00a0English Slow Preparation \u2013\u00a0English Low Fiber Diet (Complete):\u00a0English Flexible Sigmoidoscopy Miralax Prep \u2013\u00a0English\u00a0|\u00a0Spanish Enema Prep \u2013\u00a0English\u00a0|\u00a0Spanish Upper Endoscopy (EGD): English\u00a0|\u00a0Spanish Enteroscopy: English\u00a0|\u00a0Spanish ERCP: \u00a0English\u00a0|\u00a0Spanish Infra-red Coagulation Therapy (IRC):\u00a0 English\u00a0|\u00a0Spanish Upper Endoscopic Ultrasound (EUS):\u00a0 English\u00a0|\u00a0Spanish Lower Endoscopic Ultrasound (EUS):\u00a0 English\u00a0|\u00a0Spanish Ostomy Exam:\u00a0 English\u00a0|\u00a0Spanish Pouch &hellip; <a href=\"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/clinical-resources-1\/patient-consent-forms\/\" aria-label=\"Read more about Patient Information Sheets\">Read more<\/a><\/p>\n","protected":false},"author":3410,"featured_media":0,"parent":2236,"menu_order":25,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2643","page","type-page","status-publish","hentry","odd"],"acf":[],"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-json\/wp\/v2\/pages\/2643","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-json\/wp\/v2\/users\/3410"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-json\/wp\/v2\/comments?post=2643"}],"version-history":[{"count":0,"href":"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-json\/wp\/v2\/pages\/2643\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-json\/wp\/v2\/pages\/2236"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/medicine\/gi\/faculty-staff-website\/wp-json\/wp\/v2\/media?parent=2643"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}