DO NOT TAKE any aspirin (or aspirin containing medications), persatine, coumadin, ibuprofen or any other blood thinners for 5 days prior to the exam.

PATIENT NAME _______________________________________________

APPOINTMENT DATE ___________________ TIME ___________________

1. Take _________ antibiotic(s) the night before your exam.

2. Take a Fleet enema two (2) hours before your exam.

3. Have a light breakfast the morning of your exam, but please do not skip breakfast.

If you have any questions regarding these instructions, please contact our office at:

Chicago Office 773.878.7555

Skokie Office 847.674.1899