Advanced GI Inc Patient Forms

Keeping in mind that your time is valuable, we would appreciate your assistance with the registration process by completing and signing our  Registration packet  and  reviewing our Privacy-Brochure prior to your arrival.

After you have completed the registration form, please fax it directly to our office at (805) 777-1730 or e-mail it to

Supplying this information ahead of time will significantly simplify the registration process and decrease the time you may spend in the waiting room.

Here is some common hand-outs you may be interested in…

Understanding Colonoscopy

Understanding Upper Endoscopy (EGD)

Understanding Wireless Capsule Endoscopy (WCE)Understanding PEG

Understanding ERCP






Post-TIF diet

Post-TIF discharge instruction

Colonoscopy Prep instructions

These are instructions that would normally be given to you during your visit (this section is mainly for rare instances when you may have lost your prep instructions).  The choice of preparation is based on several factors that Dr. Simoni and his staff would determine upon evaluation of your history.

Miralax Prep



PrepoPick Prep

Golytely Prep

Reach out to us today to see how we can help you

Advanced Gastroenterology, Inc.

Phone: (805) 719-0244

555 Marin Street, Ste. 270

Thousand Oaks, CA 91360

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