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Residual Functional Capacity Questionnaire CROWNS & COLITIS Patient: DOB: Physician completing this form: Please complete the following questions regarding this patient's impairments and attach all
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Crohn's disease and ulcerative colitis are chronic inflammatory conditions of the gastrointestinal tract.
Patients diagnosed with Crohn's disease or ulcerative colitis may need to report their condition to healthcare providers or government agencies.
Patients can fill out forms provided by their healthcare providers or government agencies with accurate information about their Crohn's disease or ulcerative colitis.
The purpose of reporting Crohn's disease or ulcerative colitis is to ensure proper medical treatment and monitoring of the conditions.
Information such as symptoms, medications, medical history, and any relevant test results must be reported on Crohn's disease or ulcerative colitis forms.
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