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PATRICK A. NO STI, MD Georgetown Medical Building TH 8901 West 74 Street, Suite 280 Shawnee Mission, KS 66204 P 913.262.3000 F 913.262.3002 AUTHORIZATION TO RELEASE PROTECTED HEALTH INFORMATION (PHI)
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How to fill out about constipationdoc:

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Start by providing personal information such as your name, age, address, and contact details.
02
Next, mention your medical history related to constipation. This includes any previous diagnoses, medications taken, and treatments received.
03
Describe your current symptoms and their duration. Be specific about the frequency, severity, and any accompanying discomfort or complications.
04
Include information about any lifestyle factors that may contribute to constipation, such as dietary habits, physical activity levels, and stress levels.
05
List any over-the-counter or prescription medications you are currently taking, as they can affect bowel movements.
06
Be honest and detailed when answering questions about your bowel habits, including frequency, consistency, and any difficulty or pain during bowel movements.
07
If you have tried any remedies or treatments for constipation in the past, mention them and their effectiveness.
08
Finally, if you have any concerns or specific questions about your condition, make sure to include them in the form.

Who needs about constipationdoc:

01
Individuals who are experiencing symptoms of constipation, such as infrequent bowel movements, difficulty passing stool, or hard and dry stool.
02
People who have a history of chronic constipation or have been diagnosed with a digestive disorder that can cause constipation, such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD).
03
Patients who are seeking medical advice or treatment for their constipation and want to provide comprehensive information to their healthcare provider.
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Individuals who want to track their symptoms and progress with constipation over time, especially if they are trying different remedies or treatments.
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Constipationdoc is a document used to report information about constipation and related symptoms.
Healthcare professionals, caregivers, or individuals experiencing constipation may be required to file about constipationdoc.
Fill out about constipationdoc by providing accurate information about constipation symptoms, duration, severity, and any related medications or treatments.
The purpose of about constipationdoc is to document and track information related to constipation for medical evaluation and treatment.
Information such as frequency of bowel movements, consistency of stool, any pain or discomfort, dietary habits, and any previous medical history related to constipation must be reported on about constipationdoc.
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