Complete Gastro Health
Gastroenterology and Endoscopy

Name:

Address:

Date of Birth: Telephone (H): Telephone (B): Med No:

REQUEST FOR:

CLINICAL DETAILS:

Consultation	Gastroscopy	Colonoscopy Capsule Endoscopy		Iron Infusion

REFERRING DOCTOR DETAILS:

COPIES TO:

DOCTOR’S SIGNATURE	DATE

PATIENT INSTRUCTIONS

Gastroscopy
A gastroscopy is an examination of the oesophagus, stomach and part of the small intestine. Gastroscopy is a safe procedure that provides information other tests may not be able to give. It is performed by using a device called a gastroscope, which is a thin tube that is inserted via the mouth. All patients will have a mouth guard to protect their teeth.

Colonoscopy
A colonoscopy  is  an  examination  of the colon or large intestine (bowel). Colonoscopy is a safe procedure that provides information on the lining of the colon. It is performed by using a device called colonoscope, a  thin  tube  which is inserted via the anal opening. Prior to performing a colonoscopy, the colon has to be cleared of all faecal material using a combination of laxatives called bowel preparation.

SERVICES

•	Consultation
•	Gastroscopy
•	Colonoscopy
•	Capsule endoscopy
•	Iron infusion
LOCATIONS
Doncaster (main office)
Suite 7003, Lvl 7, Westfield Office Tower, Westfield Doncaster Shopping Centre, 619 Doncaster Rd, Doncaster, VIC 3108
St Vincent’s Private Hospital
59 Victoria Parade, Fitzroy, VIC 3065
Sunbury
1-11 Dornoch Drive, Sunbury, VIC 3429
Chelsea Heights

These procedures are normally done in theatre or a procedure room. It  is  done under sedation, therefore all patients will have to fast for at least 6 hours prior to the procedure. Both these procedures are performed as a day procedure, so you will be going home on the same day.

It is important to remember that you have someone to take you home afterwards. If you have any questions or concerns, please do not hesitate to contact one of our friendly staff at Complete Gastro Health.

93 Wells Rd, Chelsea Heights, VIC 3196
Epping
The Private Specialists Centre, Lvl 2, 230 Cooper street, Epping, VIC 3076
Mitcham
27 Doncaster East Road, Mitcham, VIC 3132
Craigieburn
Suite 211, Lvl 2, Craigieburn Junction 420-440, Craigieburn Road, Craigieburn, VIC 3064 Cranbourne
398 South Gippsland Hwy, Cranbourne VIC 3977
Gisborne
5 Neal St, Gisborne, VIC 3437

Telephone: (03) 8812 7807  Fax: (03) 8678 3298   Website: www.completegastro.com.au