VScreen, Inc.

At VScreen, scheduling an appointment is simple. You provide us with basic information and we’ll go to work for you. Simple and flexible scheduling options have been developed to accommodate any life style, including evening and weekend appointments. Preferred appointment times are available by completing the scheduling form below.

Once you have submitted your data, a patient care coordinator will respond promptly with a telephone call to confirm your appointment.

Title
First Name
Middle Name
Last Name
Address
City
State
Zip

Daytime Phone
Evening Phone
Email

Preferred Appointment Times
Preparation of the bowel is critical for any exam type of this nature. Your exam will be performed in the morning and takes approximately 20 minutes to complete from start to finish. After you have been scanned you will be allowed to get back to your normal day-to-day activites such as eating, job or any other activity that is normal for you.
1st Choice Date	Pick Date	Time
2nd Choice Date	Pick Date	Time
3rd Choice Date	Pick Date	Time

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