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Open Access Colonoscopy allows healthy patients, without exclusion criteria, to receive a screening colonoscopy without an initial office visit.

Colonoscopy screening is a test for early diagnosis of common cancers before symptoms develop.

Colorectal cancer is the second leading cause of cancer related deaths a 5 - 6 percent lifetime risk.

The current recommendation for colon cancer screening by the American Cancer Society is a colonoscopy starting at the age of 45. Future examinations are planned based on the findings.


Exclusion criteria list includes:

• Anticoagulants (blood thinner) / Antiplatelets / clotting diathesis
• Multiple or unstable co-morbidities (having one or more additional  diseases)

o Unstable cardiac disease, pacer/defibrillator, endocarditis, recent myocardial infarction (MI)

o Steroid-dependent pulmonary disease, sleep apnea, or use of a CPAP

o Renal distress, dialysis

o Neurologic disorders

• Unstable cardiac disease, pacer/defibrilator, endocarditis, recent myocardial infarction (MI)
• Oxygen or steriod dependent pulmonary disease, sleep apnea or CPAP
• Renal distress, dialysis
• Neurological disorders
• Extensive abdominal surgery
• GI bleeding, change in bowel movements, weight loss, bleeding
• Chronic narcotic use for pain control
• Insulin dependent diabetes
• Previous problems with anesthesia
• Age > 80
• Overweight


To begin this process, please complete the questionnaire and email to 

Liver Specialists of Texas. LLC

6560 Fannin Street Suite 2050

Houston, Texas 77030



Please allow two weeks for the paperwork to be processed.

Paperwork needs to be filled out in its entirety or it will not be processed.

Please provide a copy of recent lab work.


Patient Name: _____________________________Date of Birth: ________________
Phone: ________________________ Height:________________ Weight: ____________


Primary Care Physician:



GI Symptoms:

o None
o Poor appetite o Bleeding o Polyps / Diverticulosis
o Weight loss o Nausea / vomiting o Change in bowel pattern
o Difficulty swallowing o Abdominal pain o Heartburn


Past Medical History:

o None
o Anemia o Sleep apnea o Seizure o Cancer o Diabetes
o Stroke o Crohn’s disease o Blood clotting problems o DVT / PE o Diverticulitis
o Heart problems o MRSA or VRE o Liver disease / Hepatitis o Hypertension
o Ulcerative colitis o High cholesterol o Polyps o Kidney disease
o Lung problems o Endocarditis o TB


Previous Procedure / Surgical Information:

o EGD / Colonoscopy –


Date: ______________________________________________
o Gastric bypass / Abdominal surgery – Explain: _______________________________________
o Previous surgeries (general, orthopedic, etc) – Explain: _________________________________



Please attach list of medications, vitamins and aspirin products or blood thinners
o Aspirin or aspirin products o Lovenox o Eliquis
o Vitamins o Coumadin (warfarin) o None
o Plavix o Pradaxa o Other
o Xarelto o NSAID (Celebrex, ibuprofen, naproxen,Toradol, Lodine, Indocin)





History: Family / Social 

o Colon cancer o Polyps o Tobacco o Alcohol
Symptoms: o Fever o Bleeding problems o Breathing difficulties
o Chest pain o Lightheadedness / Fainting o None


Patient Signature



Provider Signature



Obesity and Fatty Liver Disease

Obesity, and all of its related complications, is more serious than most adults in America believe. More than one-third (34.9% or 78.6 million) of U.S. adults are obese. Obesity-related conditions include heart disease, stroke, type 2 diabetes, fatty liver disease, and certain types of cancer, are some of the leading causes of preventable death. We are seeing an increase in the number of young children and adolescents developing obesity, and all of the related complications.

The cost of obesity is staggering, with annual medical cost of obesity exceeding $147 billion in 2008 U.S. dollars. The medical costs for people who are obese were $1,429 higher than those of normal weight.

Dr. Galati and the Liver Specialists of Texas team are dedicated to evaluate, treat, and manage all aspects of obesity and non-alcoholic fatty liver disease (NAFLD and NASH), including the complication of cirrhosis and liver failure. Developing a customized plan of care for each patient they see is their objective.

Liver Transplant Resources

Dr. Galati has been involved in Liver Transplantation since 1989. As Medical Director for the Center for Liver Disease and Transplantation at Houston Methodist Hospital, Dr. Galati has cared for thousands of patients with advanced liver disease. In those with the most severe form of advanced liver disease and cirrhosis, liver transplantation is a life-saving surgery. For more information on liver transplantation, click here.

Indications for liver transplant include:

Online LIVER Second Opinion

  • 1

    From the comfort of your home, without the need to spend additional money on travel, lodging, and food, receive and expert second opinion from the expert physicians at Liver Specialists of Texas

  • 2

    There are five steps in the process of requesting a second opinion. We anticipate the steps will take you about 30-65 minutes to complete.

  • 3

    Have your medical records or those of your loved one on hand as you fill out the medical history questionnaire portion of the online process. The medical history questionnaire is detailed so having medical records to quickly reference will help make the process more efficient.

  • 4

    To start the process of an Online Liver Second Opinion, please fill out the initial contact form and fax back to our office. A representative from our office will call you for additional details.