Schedule Your Colonoscopy NowScheduling a colonoscopy is now easier than ever before. Please take a moment to fill out the medical history form below, which will then be reviewed by our medical team. If approved, you will be scheduled for a screening colonoscopy without a prior visit to your primary care physician. Please be sure to select if you’d like your screening done Monday through Friday at the HOCC New Britain campus or on Saturdays at the HOCC Bradley campus in Southington. All of your information will be sent securely and will remain confidential.


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Personal Information

Insurance Provider Information

Allergies

Tobacco Use

Alcohol Use

Street/Illicit Drug Use

Medical History

Family History

Past Colonoscopies

Past Surgeries

Medications

Additional Information

Digestive Health



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1.800.321.6244