Patient Information

Patient Forms

Our patient forms can be downloaded to your computer, completed, and printed at home.

• New Patient Packet

Procedure Forms

• Colonoscopy (Suprep)
• Colonoscopy (Nulytely)
• Colon Surgery Preparation
• Anorectal Surgery Instructions
• Rubber Band Ligation Procedure Instructions

Note: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

Insurances Accepted

Aetna	Blue Shield	Blue Cross of California
CCN	Cigna	First Health
Great West	Greater Newport Physicians	Integrated Health
Interplan	Multiplan (Admar, NPPN, BPS)	Orange County PPO
Pacificare	PCOC	PHCS (Private Healthcare Systems)
United Healthcare

*If your insurance company is not listed, please consult your insurance carrier’s directory or website to ensure that Dr. Rad if part of your network plan. Please feel free to contact our office for assistance.