Forms & Downloads

Patient Forms

• Patient Personal History Questionnaire
  View/download:  PDF file, 1.9MB
• Preparation for In-Patient Surgery (NuLytely)
  View/download:   Word .doc file, 314KB  |  PDF file, 30KB
• Preparation for Surgery - Miralax
  View/download:  Word .doc file, 210KB  |  PDF file, 29KB
• What Happens During My PACE Visit?
  View/download:  PDF file, 74KB
• Proctocolectomy with J Pouch
  View/download:  PDF file, 5.3MB
• Bristol Stool Chart
  View/download:  PDF file, 147KB
• Fecal Incontinence
  View/download:  PDF file, 127KB
• Food and Bowel Weekly Diary
  View/download:  PDF file, 159KB
  

Information Before and After Surgery

Dr. Cologne

• Surgery: What to Expect and Postoperative Instructions
  View/download: PDF file, 427KB
• Colonoscopy: Preparation Instructions
  View/download: PDF file, 201KB

Dr. Kaiser

• Post-Discharge Instructions After Major Abdominal Surgery
  View/download: PDF file, 295KB
• Post-Discharge Instructions After Anorectal Surgery
  View/download: PDF file, 294KB
• Preparation for Colonoscopy (NuLytely)
  View/download: PDF file, 779KB

Address

USC Colorectal Surgery
1450 San Pablo Street
Healthcare Consultation Center 4
Suite 6200
Los Angeles, CA 90089

Phone: (323) 865-3690
Fax: (323) 865-3671