The following new patient and procedural preparation forms can be downloaded to your computer and printed at home for your convenience. By filling out these forms prior to your appointment, you will save significant time during your visit to Dr. Sameer Islam's office. If you have any questions when filling out these forms, please do the best you can, and our staff will assist you with any questions on the day of your visit.
New Patient Forms
Important Information on Diet and Medications
What can I eat on a clear liquid diet? Can I take my daily medications? These are two common questions our patients ask us before a procedure. Dr. Islam has prepared this guide to help you get ready for your procedure. Please read carefully.
The procedural preparation forms will give you a detailed description of what you need to do during the 24-hour period before the procedure. Please use these as a guide, and contact Dr. Islam’s office at (806) 761-0747 or after hours at (806)-775-8200 and ask for the with any questions.
Please find the appropriate prep for your procedure. Different procedures and circumstances can alter which prep has been prescribed for you. Follow the instructions carefully.