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Cascade Endoscopy CenterCascade Endoscopy Center

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Patient Forms

You will receive a text and/or email link from HST Patient Engagement to compete your health screening survey.  For additional information on your procedure,  please see the forms below.

  • Multiple Authorization Form (ENGLISH)
  • Multiple Authorization Form (SPANISH)
  • Patient Brochure (ENGLISH)
  • Patient Brochure (SPANISH)
  • Patient Rights and Responsibilities (ENGLISH)
  • Patient Rights and Responsibilities (SPANISH)
  • Notice of Privacy Practices (ENGLISH)
  • Notice of Privacy Practices (SPANISH)
Keeping You Safe Patient Forms Prep Instructions - English & Spanish Insurance and Billing Identifying Different Colonoscopies Direct Access Colonoscopy Anesthesia Patient Texting Request an Appointment
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Cascade Endoscopy Center
1007 Harlow Rd #110,
Springfield, OR 97477

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