Self Referral Colonoscopy
Self-referral, or open access, colorectal cancer screening is for patients age 45-70 who are in generally good health, have no gastrointestinal symptoms, and require a routine colonoscopy (either initial or follow-up colonoscopy after initial screening) for colorectal cancer.
Eligible patients should meet the following criteria:
- Age 45-70, 45 if African American, 40-49 for patients who have a first-degree relative with colon cancer age 50 or younger
- No previous problems with moderate sedation or anesthesia
- No anticoagulant or antiplatelet drugs (Coumadin, Plavix, etc.)
- No significant illnesses including poorly controlled diabetes, significant cardiac disease, severe breathing problems, liver problems or kidney problems
- No chronic use of narcotics, benzodiazepines or other sedatives
- No gastrointestinal symptoms, e.g. abdominal pain, rectal bleeding, or change in bowel habits
Patients who meet the above criteria can register using one of three methods:
2. Download and complete the printable self-referral colonoscopy questionnaire. Once the questionnaire is completed, print and mail to:
Antwerp Regional Medical Center
c/o Dr. Matthew Hogan’s Office
608 S. Erie St., Antwerp, OH 45813
Information submitted by the self-referral colonoscopy questionnaire or by telephone will be reviewed.
Please allow up to 5-7 business days before you receive a return telephone call to schedule the procedure and receive pre-procedure colonoscopy and preparation instructions.
If after review of the submitted information, our staff finds that the patient is not eligible for self-referral Colonoscopy, we will contact the patient to schedule a clinic appointment.