The following new patient and procedural preparation forms can be downloaded to your computer and printed at home for your convenience. By filling out these forms prior to your appointment you will save significant time during your visit at Dr. Matthew Eidem’s office. If you have any questions when filling out these forms, please do the best you can, and our staff will assist you with any questions on the day of your visit.
The procedural preparation forms will give you a detailed description of what you need to do during the 24-hour period before the procedure. Please use these as a guide, and contact Dr. Eidem’s office at (972) 867-0019 or firstname.lastname@example.org with any questions.
APPROVED INSURANCE PROVIDERS
We have a new patient portal! You can log in by clicking on the Patient Portal button below. If you have never logged into the Patient Portal, please call our office at 972-867-0019, and we will send you an email with credentials and instructions on how to use the portal.
After logging into the Patient Portal, please select the location “TDDC-Plano-Preston Rd-Suite 200”. This will ensure any messages are correctly routed to our office. Thank you!
NEW PATIENT FORMS
As a member of the Digestive Health Associates of Texas, Dr. Eidem’s billing is handled by the central billing office.
If you have a billing-related question, please call 214-689-5960.
PROCEDURE PREPARATION FORMS
- Suprep Preparation for a Colonoscopy
- Suprep Split-Dose Preparation for a Colonoscopy
- Movi Split-Dose Preparation for a Colonoscopy
- Miralax Preparation for a Colonoscopy
- Preparation for an Endoscopy
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 click on this link to download it for free.