Modify Appointment | ColonoscopyAssist

Appointments : 1-855-542-6566

Modify Appointment

Patient ID
Patient Name
Patient Email
What changes would you like to make?
- Reschedule my appointment
- Cancel my appointment
- Update appointment date (provider changed it)
- Add or Remove a procedure/consult from my date of service
If the appointment date has already been changed with the provider, please enter the new appointment dates below to update our records.
You will receive an updated Appointment Confirmation within 1 business day.
What is your new appointment date?*
MM slash DD slash YYYY
What is your new appointment time?*

: Hours

Minutes

AM/PM
Please enter information on when you would like to re-schedule for and ColonoscopyAssist will make the changes within 1 business day.
Preferred Date Range for new appointment*
Any other notes
Reason for reschedule*
Please explain the reason for the reschedule
Upon submission of this request, your entire appointment will be cancelled with the facility within 1 business day. If you are trying to cancel only a particular service from your appointment, please call 855-542-6566
Appointment date that needs to be canceled?*
MM slash DD slash YYYY
Cancellation Reason*
Please explain the reason for the cancellation
Would you like to request a refund of payments made?
- Yes. Refund my payments
- No. Hold my funds. I intend to reschedule
- No. I haven’t made any payments
Refunds are usually processed within 48 hours.
All changes will be made within 1 business day. You will receive an updated appointment confirmation once an appointment has been modified.
What changes are you requesting?

[Populus_Forms_Modify_Ad]

Need Assistance?

1-855-542-6566

Mon-Fri | 7AM – 6PM CST

More Contact Information ➝

Did you know?
You can support ColonoscopyAssist by paying with Zelle. Its free for us to receive payments and keeps costs low.

Patients

Locations by city

Providers

Refer a patient

Join our program

Organizations

Become a partner

Connect with us

@ 2024 ColonoscopyAssist | All rights reserved

Refund Policy | Terms of use | Privacy Practice | Contact us

Patients

Schedule now

Locations by city

Providers

Refer a patient

Join our program

Organizations

Organizations home

Become a partner

Connect with us

@ 2023 ColonoscopyAssist | All rights reserved

Refund Policy | Terms of use | Privacy Practice | Contact us

Patients

Providers

Refer a patient

Join our program

Organizations

Become a partner

Lets Connect!

@ 2024 ColonoscopyAssist | All rights reserved

Refund Policy | Terms of use | Privacy Practice | Contact us