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Fairfax Colon & Rectal Surgery, P.C. Fairfax Colon & Rectal Surgical Center, L.L.C. Patient Name: Date of Birth: Age: Today's date: Primary Care Physician: Physician’s) who referred you to our office:
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How to fill out Fairfax Colon and Rectal:

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Start by gathering all necessary information and documents. This may include medical history, insurance information, and any referral forms or paperwork provided by your healthcare provider.
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Contact the Fairfax Colon and Rectal office to schedule an appointment. It is important to ensure that you have the appropriate referral if required by your insurance provider.
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Prior to your appointment, carefully review any instructions or guidelines provided by the Fairfax Colon and Rectal office. These may include specific dietary restrictions or preparations needed for certain procedures or tests.
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Arrive at the office on the scheduled date and time of your appointment. Bring along all necessary paperwork, identification, and insurance information.
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Upon arrival, you will be asked to complete patient registration forms. These forms will typically include personal information, medical history, and consent for treatment.
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Take your time to accurately fill out all required fields in the patient registration forms. Provide as much detail as possible, as this information will assist your healthcare provider in understanding your needs and providing appropriate care.
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It is important to consult with your healthcare provider to determine if Fairfax Colon and Rectal is the appropriate facility for your needs and to ensure proper care and treatment.
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Fairfax Colon and Rectal is a medical practice specializing in the treatment of diseases and disorders of the colon and rectum.
Patients who have received treatment at Fairfax Colon and Rectal may be required to file medical forms or insurance claims related to their care.
Patients can fill out Fairfax Colon and Rectal forms by providing accurate personal and medical information required for their treatment and insurance purposes.
The purpose of Fairfax Colon and Rectal is to provide specialized medical care for patients with colon and rectal diseases and disorders.
Patients may need to report personal and medical information such as symptoms, medical history, insurance details, and treatment preferences on Fairfax Colon and Rectal forms.
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