Small Bowel Capsule Endoscopy (EGD) PillCam Instructions – 12 Hour

How to use this form
Enter the date and time of your procedure, then view or print your procedure prep instructions.

Procedure Date*
Month
Day
Year
Appointment Check-In Time*

: Hours

Minutes

AM/PM
Procedure Location (check one)*
You must select the correct procedure location! Instructions are dependent on the location of service. If unsure, reference your text/e-mail or call 541-868-9505.
- Oregon Endoscopy Center in Northwest Specialty Clinics Building on Riverbend Campus
- Surgical Services at Sacred Heart Medical Center RiverBend Hospital