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This document serves as a comprehensive intake form for new patients visiting the Gastroenterology clinic, gathering personal, medical, and family history information.
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How to fill out rush copley digestive disease
How to fill out Rush Copley Digestive Disease Consultants - New Patient Data Base
01
Start by obtaining the New Patient Data Base form from Rush Copley Digestive Disease Consultants.
02
Fill in your personal information including your name, address, phone number, and date of birth.
03
Provide your insurance information, including policy number and provider details.
04
List any current medications you are taking, including dosage and frequency.
05
Indicate any known allergies to medications, food, or environmental factors.
06
Fill out your primary care physician's information and any specialists you see.
07
Answer questions regarding your medical history and any digestive issues you have experienced.
08
Review the completed form for accuracy before submitting it.
Who needs Rush Copley Digestive Disease Consultants - New Patient Data Base?
01
Anyone who is experiencing digestive issues or seeking specialized care in gastroenterology.
02
Patients referred by primary care physicians for digestive disease evaluation.
03
Individuals wanting to establish care with Rush Copley Digestive Disease Consultants for ongoing digestive health management.
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People Also Ask about
What is Rush Copley known for?
It is a destination for excellence in health care with an academic connection to the Rush University System for Health. Some of our awards and recognitions include the following: Earned an “A” grade for safety over 20 times from the The Leapfrog Group. Achieved Magnet status through the ANCC Magnet Recognition Program.
When was Rush Copley Aurora built?
That moment, according to historical accounts, provided the motivation for local residents to open Aurora City Hospital in 1886. Many years and several name changes later, that hospital became Rush Copley Medical Center. On Oct. 12, 1886, Aurora City Hospital opened with five physicians and 12 rooms.
When was Rush Copley in Aurora built?
RUSH Copley Medical Center began as Aurora City Hospital in 1886 as a 12-bed institution staffed by five physicians. Over the first hundred years, the hospital opened a birthing center, established a nursing school, built a “modern” hospital and expanded its buildings' capacity to 319 beds by the 1970s.
What is the history of Rush Oak Park Hospital?
Rush Oak Park Hospital was opened in 1907 by John W. Tope, MD, and the Sisters of Misericordia. The Sisters of Misericordia operated the hospital until 1986, when ownership was transferred to the Wheaton Franciscan Sisters, Inc. In 1997, the hospital partnered with Rush University Medical Center.
What level of trauma is Rush Copley Medical Center?
Rush Copley Emergency Services is a designated Level II Trauma Center. This designation means that physicians, operating room staff and laboratory services are available to you 24 hours a day, every day. Serving the greater Fox Valley area, Rush Copley Emergency Services treats nearly 70,000 people each year.
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What is Rush Copley Digestive Disease Consultants - New Patient Data Base?
Rush Copley Digestive Disease Consultants - New Patient Data Base is a system designed to gather and manage information for new patients seeking digestive disease consultation and treatment at Rush Copley.
Who is required to file Rush Copley Digestive Disease Consultants - New Patient Data Base?
All new patients seeking consultation or treatment at Rush Copley Digestive Disease Consultants are required to file the New Patient Data Base.
How to fill out Rush Copley Digestive Disease Consultants - New Patient Data Base?
To fill out the Rush Copley Digestive Disease Consultants - New Patient Data Base, patients should follow the instructions provided on the form, ensuring to provide accurate personal and medical information as requested.
What is the purpose of Rush Copley Digestive Disease Consultants - New Patient Data Base?
The purpose of the Rush Copley Digestive Disease Consultants - New Patient Data Base is to streamline the intake process for new patients, ensuring that comprehensive medical histories and important patient information are collected for effective diagnosis and treatment.
What information must be reported on Rush Copley Digestive Disease Consultants - New Patient Data Base?
The information that must be reported includes personal details such as name, contact information, medical history, current medications, and any specific digestive health concerns.
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