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HEALTHCARE PROVIDER INFORMATION Name: Address: City: State: Zip: Phone: Fax:SUP REP Bowel Prep Kit is a split dose (2day) regimen. Both 6ounce bottles are required for a complete prep. FIRST DOSE:

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How to fill out suprep bowel prep kit

01

Step 1: Mix the contents of one pouch A and one pouch B with water to make a total of 16 ounces of liquid.

02

Step 2: Drink the entire mixture within one hour.

03

Step 3: Drink an additional 32 ounces of clear liquids over the next hour.

04

Step 4: Wait for bowel movements to occur, which may take a few hours.

Who needs suprep bowel prep kit?

01

People who are undergoing a colonoscopy.

02

People who are preparing for a surgical procedure that requires a clean bowel.

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What is suprep bowel prep kit?

Suprep bowel prep kit is a medication used to cleanse the colon before a colonoscopy.

Who is required to file suprep bowel prep kit?

Patients who are scheduled to undergo a colonoscopy are required to use suprep bowel prep kit.

How to fill out suprep bowel prep kit?

To fill out suprep bowel prep kit, follow the instructions provided by your healthcare provider or on the packaging.

What is the purpose of suprep bowel prep kit?

The purpose of suprep bowel prep kit is to empty the colon in preparation for a colonoscopy.

What information must be reported on suprep bowel prep kit?

The information that must be reported on suprep bowel prep kit includes the date and time of administration, any side effects experienced, and any difficulties encountered.

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