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Patient Forms

Patient Information Form

Patient/Insurance Information

Notice of Privacy Practices

Patient Privacy Information

What to Expect After Hemorrhoid Ligation

Aftercare Information for Hemorrhoid Ligation

Patient Health History Form

Patient Health History

Colonoscopy Prep Information

Preparation Instructions for Colonoscopy

What to Expect After Surgery

Aftercare Information for Surgery

Record Release Authorization

Authorization for Release of Patient Information

EGD-Upper Gastrointestinal Endoscopy Prep Information

Preparation Instructions for EGD Upper Gastrointestinal Endoscopy

Provider Referral Form

Patient Referral Form for Providers Only

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