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THE BALTIMORE COLORECTAL SCREENING PROGRAM FOR UNION MEMORIAL AND HARBOR HOSPITALS 4105542310Date: Dear M, Congratulations on completing your colonoscopy procedure on, wither. , at Hospital. I am
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Begin by gathering all the necessary personal information and medical history required for the form.
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Fill in your full name, date of birth, and contact information in the appropriate fields.
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Provide details about your demographics such as gender, race, and ethnicity.
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Answer the questions related to your medical history, including any previous colorectal screenings or diagnoses.
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Indicate whether you have any symptoms related to colorectal issues and provide details if applicable.
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If you have undergone any relevant medical procedures or surgeries, provide the details in the designated section.
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Submit the completed form by following the specified submission instructions or delivering it to the designated location.

Who needs form baltimore colorectal screening?

01
Form Baltimore Colorectal Screening is needed by individuals who meet the screening criteria for colorectal cancer.
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This may include individuals over a certain age (usually 50 or above), individuals with a family history of colorectal cancer, or individuals who have symptoms that indicate a potential risk of colorectal issues.
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It is advisable to consult a healthcare professional or refer to the specific guidelines provided by the healthcare institution or organization offering the screening to determine if you need to fill out this form.

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Form Baltimore Colorectal Screening is a form used to report the results of colorectal screening tests.
Individuals who are eligible for colorectal cancer screening are required to file form Baltimore Colorectal Screening.
Form Baltimore Colorectal Screening can be filled out by providing information about the type of screening test conducted and the results.
The purpose of form Baltimore Colorectal Screening is to track and monitor colorectal cancer screening among individuals.
Information such as the type of screening test, results, date of screening, and healthcare provider information must be reported on form Baltimore Colorectal Screening.
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