Date of Procedure: __________
Time:________Arrive:_______
Visit our website at www.mysummitgi.com for more information on your procedure and our medical practice
YOUR PROCEDURE: Colonoscopy
TAKES PLACE AT: Rose Surgical Center (Founders Building- 4700 Hale Parkway, Second Floor)
YOUR PREPARATION IS:
MoviPrep®
or
OsmoPrep®
or
SUPREP®
1) PURCHASE YOUR PREP as soon as possible to prevent the pharmacy from re-shelving the prescription
(don’t worry, it can be stored until needed).
2) THE DAY BEFORE YOUR EXAM- Consume only clear liquids (ie: tea, juice, Gatorade, Jello, black coffee,
soup broth, soda, etc) and no solid food (please, nothing red either, which can look like blood in your
colon). Ideally, you should consume at least 1-2 gallons of clear liquids throughout the day.
3a) IF YOU ARE TAKING MOVIPREP® or SUPREP®- Refer to the instructions found separately
3b) IF YOU ARE TAKING OSMOPREP®- Do not take this medication if you take any high blood pressure
medications, diabetic medication or are prone to kidney or heart problems.
First Regimen (taken at 6PM the night before your procedure): One dose (4 tablets with 8 ounces of any clear
liquid) every 15 minutes for a total of 5 doses (20 tablets). Continue drinking clear liquids (at least an
additional 48 ounces) before going to sleep.
Second Regimen (taken 5 hrs before your procedure): One dose every 15 minutes for a total of 3 doses (12 tablets).
4) Your goal should be to be passing clear watery bowel movements by the time of your procedure. For any
prep, you may continue drinking clear liquids up to 4 hours before your procedure. For urgent questions
regarding your prep, contact me directly on my cell phone at (303) 818-6823. PLEASE NOTE: You must remain
well hydrated during your entire prep or you risk serious and potentially permanent kidney damage.
5) You may continue all your medications except for Coumadin, Plavix and full strength (325mg) Aspirin.
Please discuss with Dr. Burrows if you are on diabetes medicines.
6) Please plan to arrive 1 hour before your procedure. You will need a responsible adult to pick you up after
the procedure. You will not be allowed to drive yourself home or leave by yourself. You will be at the facility
for a total of 2-2½ hours (from drop off to pick-up).
Payment and rescheduling/cancellations:
Rescheduling or Cancellations with less than 48 hours notice will incur a $200 fee (single procedure) and a
$300 fee (double procedure) which is not covered by insurance. You are responsible for determining your
financial obligation with your insurance provider (deductible, co-insurance). You must contact our office to
cancel your procedure (303)320-1111.
***You must contact the Surgical Center at (303)-758-1175 as required by a federal mandate at least 24 hours
before your procedure. Failure to do these steps will cancel your procedure as per the governmental
regulation and you may be charged for your procedure.***
Other Information: In addition to myself, there will also be at least one nurse present who will monitor your
vital signs and assist me during the procedure. An EGD lasts about 10 minutes and a colonoscopy lasts about
25 minutes. After completion, you will be brought into recovery for 30-60 minutes of and then discharged
home with your responsible adult. I will talk to you after your procedure; however, most people do not
remember this conversation due to the sedating medicines. Due to the scheduling of procedures, there will
only be a few minutes to discuss the case afterwards. You will have further opportunity to discuss this with
me at a follow-up appointment or phone call if necessary. You should not drive or do anything requiring good
coordination and judgment until the following day.
What is a Colonoscopy?
The term "colonoscopy" means looking inside the colon. It is a procedure performed by a gastroenterologist,
a well-trained subspecialist.
The colon, or large bowel, is the last portion of your digestive or GI tract. It starts at the cecum, which
attaches to the end of the small intestine, and it ends at the rectum and anus. The colon is a hollow tube,
about five feet long, and its main function is to store unabsorbed food products prior to their elimination.
The main instrument that is used to look inside the colon is the colonoscope, which is a long, thin, flexible
tube with a tiny video camera and a light on the end. The gastroenterologist can carefully guide the
instrument in any direction to look at the inside of the colon. The high quality picture from the colonoscope
is shown on a TV monitor, and gives a clear, detailed view.
This procedure also allows other instruments to be passed through the colonoscope. These may be used, for
example, to painlessly remove a suspicious-looking growth or to take a biopsy-a small piece for further
analysis. In this way, colonoscopy may help to avoid surgery or to better define what type of surgery may
need to be done.
Why a colonoscopy?
Colonoscopy is recommended for evaluation of altered bowel habit, unexplained diarrhea, constipation or
abdominal pain, occult or frank blood in stools, colon polyps or cancer or unexplained anemia.
Colonoscopy is also an important way to check for colon cancer and to treat colon polyps - abnormal
growths on the inside lining of the intestine. Polyps vary in size and shape and, while most are not
cancerous, some may turn into cancer. Colonoscopy is often used to remove polyps, a technique called a
polypectomy.
How Do I Prepare for the Procedure?
There are important steps that you must take to prepare for the procedure. First, be prepared to give a
complete list of all the medicines you are taking, as well as any allergies you have to drugs or other
substances.
You will be given instructions in advance that will outline what you should and should not do in
preparation for colonoscopy. Be sure to read and follow these instructions. One very critical step is to
thoroughly clean out the colon, which, for many patients, can be the most trying part of the entire exam. It is
essential that you complete this step carefully, because how well the bowel is emptied determines the
success of the procedure.
Often, a liquid preparation designed to stimulate bowel movements is given by mouth, which may cause
bloating. Additional approaches include special diets or the use of enemas. Whatever method or
combination of methods that is recommended for you, be sure to follow instructions as directed. And
remember, you should not consume anything within 4 hours before your colonoscopy.
What Can You Expect During a Colonoscopy?
During the procedure, everything will be done to ensure your comfort. An intravenous, or IV, line will be
inserted to give you medication to make you relaxed and drowsy. The drug will enable you to remain
awake and cooperative, but it may prevent you from remembering much of the experience.
Once you are fully relaxed, your doctor will do a rectal exam with a gloved, lubricated finger; then the
lubricated colonoscope will be gently inserted.
As the scope is slowly and carefully passed, you may feel as if you need to move your bowels, and because
air is introduced to help advance the scope, you may feel some cramping or fullness. Generally, however,
there is little or no discomfort.
What are the Possible Complications from a Colonoscopy?
Although colonoscopy is a safe procedure, complications can sometimes occur. These include perforation - a
puncture of the colon walls, which could require surgical repair.
When polyp removal or biopsy is performed, hemorrhage (heavy bleeding) may result and sometimes
require blood transfusion or reinsertion of the colonoscope to control the bleeding. Be sure to discuss any
specific concerns you may have about the procedure with your doctor.
The time needed for colonoscopy will vary, but on the average, the procedure takes about 30 minutes.
Afterwards, you’ll be cared for in a recovery area until the effects of the medication have worn off. At this
time, your doctor will inform you about the results of your colonoscopy and provide any additional
information that you need to know. You’ll also be given instructions about how soon you can eat and drink.
What Can You Expect After Your Colonoscopy?
Occasionally, minor problems may persist, such as bloating, gas, or mild cramping. These symptoms should
disappear in 24 hours or less. By the time you’re ready to go home, you’ll feel stronger and more alert.
Nevertheless, rest for the remainder of the day. Have a family member or friend take you home.
Pre-Endoscopy Tips, Expectations and Responsibilities
-We do everything we can to make your procedure comfortable and safe including
employing a highly skilled and caring staff, utilizing state-of-the art technology and
using intravenous pain medicines (fentanyl) and sedatives (versed, similar to valium).
However, despite all of our technology, these are still invasive procedures with risks.
These risks include, bleeding, infection, perforation of the intestine, and reaction to the
medications. Typically, the benefits of the procedure far outweigh the risks. You will
have an opportunity to speak with Dr. Burrows prior to the procedure to discuss any
further concerns you may have.
-Our goal with pain and sedation medications is to make you as comfortable as
possible during the procedure, NOT to knock you out completely! However, most
people do not remember the procedure at all or remember only small amounts as if in
a dream state. On rare occasions during colonoscopies, people do experience
significant abdominal cramping and pain. In the end, we must balance the amount of
medicine you receive with your cardiovascular safety. For your safety, if you know
that you are difficult to sedate, use supplemental oxygen, have been diagnosed with
sleep apnea or have allergies to narcotics, please let Dr. Burrows know so that he can
arrange an anesthesiologist to deliver the sedation medications at the procedure.
-The colonoscopy prep is typically the worst part of the colonoscopy. Some patients do
experience nausea, vomiting, bloating and cramping, with some symptoms quite
severe. If you are having difficulty with the prep, I suggest following these steps before
calling your doctor.
1) Stop drinking the liquid/tablets and take an hour break. Try taking a short
walk (keep close to the bathroom though!). Resume drinking the liquid/tablets but at
a much slower pace (try one dose every 20-30 minutes until finished).
2) If you are still having nausea, drink regular (good tasting) clear liquids until
the nausea subsides. If you are having clear bowel movements, you may continue
drinking only clears 4 hours before your procedure.
3) Drinking cold clear liquids can make you feel cold after a while. Be sure to
have hot tea or hot soup broth as an alternative if you start to feel chilled.
-You may drink clear liquids up until 4 hours before your procedure. Do not get
dehydrated! Clear liquids should not be red in color. Liquids that are not considered
clear include milk, orange juice, lemonade, etc. The nurse that calls you might tell you
to “not drink after midnight”. Please disregard that and follow the “4-hour” rule.
You must contact the Surgical Center at (303)-758-1175 as required by the new
federal mandate at least 24 hours before your procedure (and you must review the
final 8 pages of this packet and sign and initial in the appropriate spots). Bring the
papers with you to the procedure.
-You absolutely, positively, must have a responsible adult pick you up after the
procedure. You will not be allowed to walk, bike or drive home after the procedure.
The procedure will not be performed with sedation unless you have a ride home (we
will, at your request, do an un-sedated procedure). Procedures cancelled due to lack of
a ride, may incur a $200 fee (see cancellation policy below). Do not do anything that
requires good coordination or judgment for the remainder of the day. This might even
include using sharp utensils (knives) to prepare dinner that evening.
Results: Biopsy results will take a few business days to process. Dr. Burrows will
call you when he has the results to discuss. Please only call us if you have not heard
from us after 7 days to confirm that we have received your results.
-Cancellation Policy: You must notify us of any cancellation, 48 hours prior to your
procedure(s) unless other arrangements were made with Dr. Burrows. Any procedure
cancelled with less than 48 hours notice will incur a $200 fee. Double procedures
(EGD/Colon) will incur a $300 fee. You must call us directly at 303-320-1111 to cancel.
Do not assume the Surgical Center will contact us to cancel your appointment.
Patient Portal Use: We rely on and utilize a secure and efficient patient portal system.
This system allows all our patients to review test results, communicate securely with
our office, pay balances, get timely appointment reminders, change personal
demographics, access educational sites and reschedule appointments, all from the
comfort of your home and even outside of our normal business hours. It is one of the
most advanced patient centered portals available in medicine and one that we are
extremely proud of.
The patient portal is easily accessed from our website: www.mysummitgi.com BUT it
does require that you have access to your primary telephone number (the system will
call you to confirm that you are who you say you are!) and that you have your PIN
number available (generated by us during your first office visit or by calling us during
normal business hours). Once registered into the system, you will be able to change
your PIN to something easy to remember.
We would like to stress the importance of utilizing our patient portal system as it
enables us to keep costs down, speeds up the delivery of your important medical test
results and creates a convenient access point to interact with our office at any time of
the day.
Please set up your access to the portal today and start experiencing more
convenience and efficiency for you.
Important Information about Your (the patient’s) Portion of Procedure Costs
There are several fees associated with any outpatient procedure:
1) The facility fee (the fee charged by the facility to do the procedure there). These
contracted fees vary with health plans but typically range from $2000-$3000.
2) The physician fee (the fee charged by Summit Gastroenterology/Dr. Aaron
Burrows) is a contracted fee with the health plan, and ranges from $200-$400.
3) There might also be additional charges for pathology specimens
processing/interpretation or an anesthesiologist (if required) and vary
depending on the procedure.
Please note, You may be responsible for a co-payment to the surgical center or to Dr.
Burrows for your procedure. Most insurance companies now require a co-payment for
outpatient services. In addition, if your plan has a deductible, your insurance
company will not cover the cost of the procedure until your designated deductible has
been met.
Also, please be aware, some plans will not cover a screening colonoscopy if a polyp is
found during your procedure. Many plans consider the removal of a polyp medically
necessary (and no longer preventative) and therefore, co-pays, deductibles, etc, may
apply, shifting the cost to you. Please call the member services department of your
insurance plan and check your specific plan’s coverage before your procedure.
Both the surgical center and Dr. Burrows’ office will separately bill your health
insurance company for your procedure. They then send us an explanation of benefits
(EOB) along with their payment. The EOB notifies us of any charges that are now your
responsibility and you are billed accordingly. Your prompt payment is greatly
appreciated.
You are responsible for knowing your financial obligation with plenty of time to cancel
or reschedule the procedure (refer to cancellation policy above). If you cancel too late,
you will be charged the cancellation fee.
-If you have any questions regarding your procedure, the location, the prep, or
anything else, please contact us during normal office hours at 303-320-1111 or afterhours at 303-818-6823 (urgent issues only please). Please note: I am a part-owner of the
Surgical Center at which you will be having your procedure and I welcome feedback
on your experience there!
IMPORTANT: PLEASE READ
Dear Patient of Rose Surgical Center,
As a result of newly revised federal mandates, effective May 18, 2009, surgery centers licensed by Medicare are
required to have verbal and written communication with all patients prior to the day of the patient’s
surgery/procedure.
As a Medicare licensed surgery center, we are federally required to provide in writing, as well as discuss with
you the following information prior to your procedure date: your rights and responsibilities as a patient,
physicians who have ownership in our facility, Advance Directives, our grievance process, and the informed
consent process.
Inside this packet, you will find all the written information we are federally mandated to communicate to you.
Please read it, complete and sign the necessary documents, and bring all of it with you to the surgery center on
the day of your procedure.
We are also required to talk with you, prior to your procedure, and go over the information provided to you in
this packet. If you have not received a call from Rose Surgical Center within two (2) days of your procedure,
please call us immediately so that we can go over the required information with you. Our business hours are
7:00 am to 5:00 pm, Monday through Friday. Our phone number is: (303) 758–1175.
Failure to complete and sign the enclosed information prior to the day of your
procedure date will result in us having to cancel your procedure, as mandated by the
new federal regulations.
Failure to talk to a member of Rose Surgical Center’s staff prior to your procedure
date will result in us having to cancel your procedure, as mandated by the new
federal regulations.
Thank you in advance for your help and cooperation.
Rose Surgical Center
ROSE SURGICAL CENTER
4700 East Hale Parkway, Suite #200, Denver, Colorado 80220, 303.758.1175
PRIOR to the date of your procedure, Rose Surgical Center will:


Contact you regarding preparations for your procedure, as well as discuss your
rights & responsibilities as a patient, physicians who have ownership in our facility,
our grievance process, Advance Directives, and the informed consent process.
Contact you regarding your insurance and/or your financial obligations.
PRIOR to the date of your procedure, YOU/THE PATIENT must:




Review the contents of this packet and follow ALL instructions
Contact the facility at (303) 758-1175 if you have any questions or concerns
Discuss with a Rose Surgical Center staff member your pre-operative instructions,
your rights & responsibilities as a patient, physicians who have ownership in our
facility, our grievance process, Advance Directives, and the informed consent
process.
If the surgical center has not reached you, please call Rose Surgical Center
between 7:00 am – 5:00 pm, Monday – Friday at (303) 758-1175.
Federal Regulations REQUIRE the surgical center to have this
verbal communication with you PRIOR to your procedure. Failure
to do so will result in your procedure being CANCELED.
Please bring this packet of documents with you on the day
of your procedure.
Rose Surgical Center
RIGHTS OF PATIENTS
The medical staff and personnel of Rose Surgical Center recognize the basic human rights of patients. Efforts are directed
to providing care commensurate with those basic human rights. Patients have the right to:

Be informed of his or her rights as a patient in advance of receiving care. The patient may appoint a
representative to receive this information should he/she so desire.

Exercise these rights without regard to sex or cultural, economic, educational or religious background or the
source of payment for care.

Considerate, respectful and dignified care, provided in a safe environment, free from all forms of abuse,
neglect, harassment and/or exploitation.

Access protective and advocacy services or have these services accessed on the patient’s behalf.

Appropriate assessment and management of pain.

Knowledge of the name of the physician who has primary responsibility for coordinating his/her care and the
names and professional relationships of other physicians and healthcare providers who will see him/her. The
patient has a right to change providers if other qualified providers are available.

Be advised if the physician has a financial interest in the surgery center.

Be advised as to the absence of malpractice coverage.

Receive complete information from his/her physician about his/her diagnosis, illness, course of treatment,
risks, benefits, alternative treatments, outcomes of care (including unanticipated outcomes), and his/her
prospects for recovery in terms that he/she can understand. Your physician should discuss these with you
prior to the procedure and give you the opportunity to ask any questions you may have.

Receive as much information about any proposed treatment or procedure as he/she may need in order to
give informed consent or to refuse the course of treatment. Except in emergencies, this information shall
include a description of the procedure or treatment, the medically significant risks involved in the treatment,
alternate courses of treatment or non-treatment and the risks involved in each and the name of the person
who will carry out the procedure or treatment.

Participate in the development and implementation of his/her plan of care and actively participate in decisions
regarding his/her medical care. To the extent permitted by law, this includes the right to request and/or refuse
treatment.

Be informed of the facility’s policy and state regulations regarding advance directives and be provided
advance directive forms if requested.

Full consideration of privacy concerning his/her medical care. Case discussion, consultation, examination and
treatment are confidential and should be conducted discreetly. The patient has the right to be advised as to
the reason for the presence of any individual involved in his/her healthcare.
_______ Pt Initials

Confidential treatment of all communications and records pertaining to his/her care and his/her stay at the
facility. His/her written permission will be obtained before his/her medical records can be made available to
anyone not directly concerned with his/her care.

Receive information in a manner that he/she understands. Communications with the patient will be effective
and provided in a manner that facilitates understanding by the patient. Written information provided will be
appropriate to the age, understanding and/as appropriate, the language of the patient. As appropriate,

communications specific to the vision, speech, hearing cognitive and language-impaired patient will be
appropriate to the impairment.

Access information contained in his/her medical record within a reasonable time frame.

Be advised of the facility’s grievance process, should he or she wish to communicate a concern regarding the
quality of care he or she receives. The patient can file a grievance with the facility’s Administrator or Clinical
Operations Manager at (303) 758-1175; or the patient can file a grievance with the Colorado Department of
Public Health and Environment at 4300 Cherry Creek Drive South, Denver, CO 80246. If the patient files a
grievance with the surgery center, he/she will be provided with a written notification of the grievance
determination that contains the name of the facility’s contact person, the steps taken on his/her behalf to
investigate the grievance, the results of the grievance and the grievance completion date.

Be advised of contact information for the state agency to whom complaints can be reported, as well as
contact information for the Office of the Medicare Beneficiary Ombudsman.
www.cms.hhs.gov/center/ombudsman.asp

Be advised if facility/personal physician proposes to engage in or perform human experimentation affecting
his/her care or treatment. The patient has the right to refuse to participate in such research projects. Refusal
to participate or discontinuation of participation will not compromise the patient’s right to access care,
treatment or services.

Full support and respect of all patient rights should the patient choose to participate in research, investigation
and/or clinical trials. This includes the patient’s right to a fully informed consent process as it relates to the
research, investigation and/or clinical trial. All information provided to subjects will be contained in the
medical record or research file, along with the consent form(s).

Be informed by his/her physician or a delegate of his/her physician of the continuing healthcare requirements
following his/her discharge from the facility.

Examine and receive an explanation of his/her bill regardless of source of payment.

Know which facility rules and policies apply to his/her conduct while a patient.

Have all patient rights apply to the person who may have legal responsibility to make decisions regarding
medical care on behalf of the patient.

All facility personnel, medical staff members and contracted agency personnel performing patient care
activities shall observe these patients’ rights.
_______ Pt Initials
RESPONSIBILITIES OF PATIENTS
The care a patient receives depends partially on the patient him/herself. Therefore, in addition to these rights, a
patient has certain responsibilities as well. These responsibilities are presented to the patient in the spirit of mutual
trust and respect:

The patient has the responsibility to provide accurate and complete information concerning his/her present
complaints, past illnesses, hospitalizations, medications (including over the counter products and dietary and
herbal supplements) and dosages, allergies and sensitivities, and other matters relating to the patient’s
health.

The patient and family are responsible for asking questions when they do not understand what they have
been told about the patient’s care or what they are expected to do.

The patient is responsible for following the treatment plan established by his/her physician, including the
instructions of nurses and other health professionals as they carry out the physician’s orders.

It is the patient’s responsibility to notify the facility if he/she has not followed the pre-operative instructions
given by their physician and/or facility personnel.


The patient is responsible for keeping appointments and for notifying the facility or physician when he/she is
unable to do so.

Provide a responsible adult to transport him/her home from the facility and remain with him/her for 24 hours
unless exempted from that requirement by the attending physician.

In the case of pediatric patients, a parent or legal guardian must remain in the facility for the duration of the
patient’s stay in the facility.

The patient is responsible for his/her actions should he/she refuse treatment or not follow his/her physician’s
orders.

The patient is responsible for assuring that the financial obligations of his/her care are fulfilled as promptly as
possible. Ultimate financial responsibility is the patient’s, regardless of the insurance coverage he/she may
have.

The patient is responsible for following facility policies and procedures.

The patient is responsible to inform the facility about the patient’s Advanced Directives.

The patient is responsible for being considerate of the rights of other patients and facility personnel.

The patient is responsible for being respectful of his/her personal property and that of other persons in the
facility.

Patient’s signature represents he/she has received written and verbal information regarding physicians’
financial interest in the Facility, Advance Directives, and on the informed consent process prior to the day of
their procedure.
Patient Signature: ________________________________ Date: ________
Notice to Patients
The nursing and medical staffs at Rose Surgical Center are committed to excellence in
the care of every patient. It is our intent that all patients receive a level of care that
meets or exceeds their environmental, psychological, and physical needs. We encourage
you to inform us if you feel that such needs are not met. You may initiate a grievance by
sending a written report to:
Rose Surgical Center
Attn: Jeff Thompson, Administrator
4700 East Hale Parkway, Suite #200, Denver, Colorado 80220
Phone: 303.758.1175
Or
Dave Roy, Vice President of Operations
HealthONE/Continental Division Office
HCA Ambulatory Surgery Division
4900 South Monaco Street, Suite 380, Denver, CO 80237
Phone: 303.788.2540
All grievances must be signed, but upon request, confidentiality will be respected. You
are guaranteed a written response within ten (10) working days.
If resolution of your complaint is not met to your satisfaction, you may contact:
Colorado Department of Public Health and Environment
4300 South Cherry Creek Drive South, Denver, Colorado 80246
Phone: 303.692.2000
Or via email at: health.facilities@state.co.us
Or
Accreditation Association for Ambulatory Health Care
5200 Old Orchard Road, Suite 200, Skokie, Illinois 60076
Phone: 847.853.6060
Or
Medicare Beneficiary Ombudsman at
www.cms.hhs.gov/center/ombudsman.asp
General Information and Facility Policies on Advanced Directives and Informed
Consent

Advanced Directives are written instructions concerning your wishes about your medical treatment.
These instructions are used in the event you become unable to make health care decisions for yourself.

You are not required to have an advance directive in order to receive care or treatment or for admission
to a facility.

In Colorado the following kinds of medical directives are recognized: the “living will” (which applies in
cases of terminal illness), “medical durable power or attorney” (which allows your named agent to make
decisions for you if you become unable to make them) and a “CPR directive” (tells emergency and other
personnel not to do CPR on you).

Under Colorado law, family members and close friends have the right to select a substitute decision
maker (Proxy) for a patient who doesn’t have an advanced directive or guardian if a doctor or a judge
determines that the patient cannot make decisions.

Rose Surgical Center policy states; regardless of the contents of any advance directive or instructions
from a health care surrogate or attorney in fact, that if an adverse event occurs during your treatment at
this facility, we will initiate resuscitative or other stabilizing measures and transfer you to an acute care
hospital for further evaluations. At the acute care hospital further treatment or withdrawal of treatment
measures already begun will be ordered in accordance with your wishes, advance directives or health
care power of attorney.

You have the right to consent to or refuse any medical care and treatment, unless ordered by a court.

Rose Surgical Center’s informed consent states the procedure, physician, reason for the procedure,
alternatives to the procedure and risks to having the procedure. It is important that you understand the
information listed on the Patient Informed Consent.

Additional information concerning advance directives and informed consents will be provided on the
date of your surgery. If you have any questions concerning the informed consent or advanced directives
prior to your surgery date, please contact the surgical center at 303-758-1175.
ROSE SURGICAL CENTER
Rose Surgical Center and the following physician owners are interested in hearing about the
quality of care you received at our facility.
Edward Ballow, DPM
John Bershof, MD
Aaron Burrows, MD
George Chin, MD
Christopher D’Ambrosia, MD
Jonathan Fishman, MD
Joel Gonzales, MD
Ronald Hattin, MD
Sharon L. Hammond, MD
Eric Jaakola, DPM
Daniel Jacobson, MD
James Jaskunas, MD
Jeffrey L. Jensen, DPM
Jessica Johnson, MD
Jennifer S. Kang, MD
Kristinell Keil, MD
Anthony LaPorta, MD
Jeffrey Lewis, MD
Eric Lindberg, MD
Mark Linkow, MD
David Longcope, MD
Robert MacDonald, MD
Elizabeth McCrann, MD
Stephanie Miller, MD
Gary Morris, MD
Michael Napierkowski, MD
Honey Onstad, DPM
David Opperman, MD
Tania Orzynski, MD
Andrew Parker, MD
Robert Pash, MD
William Plaus, MD
Julie Polson, MD
Owen S. Reichman, MD
Eugene Rosenthall, DPM
Lisa Schatz, MD
Barbara Schwartzberg, MD
Susan A. Sgambati, MD
Steven Shogan, MD
Dan Siegel, MD
Michael A. Snyder, MD
Jeffrey Snyder, MD
John H. Sun, MD
David Theil, MD
Steven Traina, MD
Leslie Vidal, MD
Gerald V. Zarlengo, MD
You will be given a Patient Satisfaction Survey upon discharge from our facility. Please complete the survey
and return to us within ten (10) days of your procedure, providing us with your feedback about your experience
while at Rose Surgical Center.
Thank you!
VER 4/4/2011