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Internal Medicine and Gastroenterology LISTER A. GEORGE, M.D. GASTROENTEROLOGY & HEPATOLOGY PATIENT INFORMATION FORM Please Print and Complete All Entries

How to fill out gastroenterology amp hepatology

How to Fill Out Gastroenterology & Hepatology:

1. Start by gathering all relevant personal information such as name, date of birth, contact information, and insurance details.
2. Proceed to fill out the medical history section by providing your past and current medical conditions, surgeries, medications, and allergies. Be thorough and include any gastrointestinal or liver-related issues you have experienced.
3. Next, complete the family medical history section, which will require you to provide information about any hereditary conditions or diseases that may be relevant to gastroenterology and hepatology.
4. The next step involves filling out the details about any gastroenterology or hepatology-related symptoms you may be experiencing. These could include abdominal pain, digestive issues, jaundice, or any other relevant symptoms.
5. You will also need to provide information about any previous diagnostic tests or procedures you have undergone related to gastroenterology or hepatology, such as colonoscopies, endoscopies, or liver function tests.
6. If you are currently under the care of a gastroenterologist or hepatologist, include their information in the appropriate section. If not, leave it blank.
7. Finally, review the form, ensuring all information is accurate and complete. If you have any questions, feel free to ask the medical staff for assistance.

Who Needs Gastroenterology & Hepatology?

1. Individuals experiencing gastrointestinal symptoms such as abdominal pain, bloating, chronic diarrhea, or constipation.
2. People with liver-related issues such as jaundice, abnormal liver function tests, or suspected liver diseases.
3. Those with a family history of gastrointestinal or liver diseases, as certain conditions may have a genetic component.
4. Individuals with a history of digestive disorders, such as Crohn's disease, ulcerative colitis, or pancreatitis.
5. Patients requiring screening for gastrointestinal cancers, such as colon cancer or gastric (stomach) cancer.
6. People with chronic or recurring digestive problems that require ongoing management and treatment.
7. Individuals seeking a comprehensive evaluation of their overall gastrointestinal health.

Remember, it is always recommended to consult with a healthcare professional or primary care physician who may refer you to a gastroenterologist or hepatologist if necessary.

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