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Direct Access Colonoscopy

What is direct access colonoscopy?

Are you a healthcare provider and interested in referring your patient for a colonoscopy? Then you may be interested in our direct access colonoscopy referral program. Direct access colonoscopy allows for patients without any GI symptoms or major medical problems to directly schedule a colonoscopy without having to have in-office consultations first. Most patients who need a colonoscopy will meet criteria for direct access colonoscopy. Patients can be referred for both first-time screening colonoscopies as well as surveillance colonoscopies for prior history of colon polyps. Patient with history of colon cancer in remission may also qualify. Please see the FAQ below to learn more about the direct access colonoscopy.

Which patients qualify for direct access colonoscopy?

Your patient may qualify for direct access colonoscopy if they can answer NO to all of the following questions:

  1. Do they have any GI symptoms such as unexplained abdominal pain, uncontrolled heartburn, unexplained nausea/vomiting, chronic diarrhea, blood in stool, or unintentional weight loss?

  2. Are they on any blood thinners other than a baby aspirin (less than 100mg) such as Coumadin (warfarin), Plavix (clopidogrel), Xarelto (rivaroxaban), Eliquis (apixaban), Pradaxa (dabigatran), Effient (prasugrel), or Lovenox (enoxaparin)?

  3. Do they have any of the following medical conditions?

    1. Chronic obstructive pulmonary disease (COPD).

    2. Congestive heart failure (CHF).

    3. Obstructive sleep apnea (OSA).

    4. Morbid obesity with a body mass index (BMI) ≥ 35.

    5. Recent heart attack or heart stent placement within the last 1 year.

    6. Recent pulmonary embolism (PE) or deep vein thrombosis (DVT) within the last 6 months.


If the answer is YES to any of the above questions, please refer your patient for an in-office consultation first.

If your patient qualifies for direct access colonoscopy, please have them fill out the from online. For any question about the direct access colonoscopy program, please call our office at 626-898-4560.

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