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OPEN ACCESS SCREENING COLONOSCOPY FORM Referral Information: Requesting Physician: Office Contact:Specialty: Phone:PCP (Name): Fax:Patient Information: Patient Name: Best Contact Number:Date of Birth:
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How to fill out open access screening colonoscopy

How to fill out open access screening colonoscopy
01
To fill out an open access screening colonoscopy, follow these steps:
02
Begin by scheduling an appointment with a qualified gastroenterologist.
03
Before the procedure, your doctor may ask you to do certain preparations, such as restricting your diet or taking laxatives to cleanse your colon.
04
On the day of the colonoscopy, arrive at the designated medical facility on time.
05
You will be given a gown to change into and your vital signs will be checked by the nursing staff.
06
Once ready, you will be taken to the procedure room and positioned on a table.
07
The doctor will administer anesthesia to ensure you are comfortable and relaxed during the procedure.
08
A colonoscope, a flexible tube with a light and camera, will be inserted through your rectum and guided into the colon.
09
The doctor will carefully examine the lining of your colon for any abnormalities or signs of disease.
10
If necessary, small tissue samples (biopsies) may be taken for further analysis.
11
After the examination, the colonoscope will be slowly withdrawn, and you will be taken to the recovery area.
12
It is important to have someone accompany you to the appointment, as the effects of anesthesia may temporarily impair your judgment and coordination.
13
Follow your doctor's post-procedure instructions and schedule a follow-up appointment to discuss the findings and receive any necessary treatment.
14
Remember to discuss any concerns or questions you may have with your healthcare provider to ensure a successful open access screening colonoscopy.
Who needs open access screening colonoscopy?
01
Open access screening colonoscopy is generally recommended for individuals who meet certain criteria or have specific risk factors. It is typically recommended for the following individuals:
02
- Adults aged 50 years and older who are at average risk for colorectal cancer
03
- Individuals with a family history of colorectal cancer or polyps
04
- Individuals with a personal history of colorectal cancer or polyps
05
- Individuals with a history of inflammatory bowel disease (such as Crohn's disease or ulcerative colitis)
06
- Individuals with certain genetic syndromes that increase the risk of colorectal cancer
07
It is important to consult with a healthcare professional to determine if open access screening colonoscopy is appropriate for your specific situation and to discuss the benefits and potential risks of the procedure.
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What is open access screening colonoscopy?
Open access screening colonoscopy is a procedure used to detect abnormalities or changes in the colon and rectum.
Who is required to file open access screening colonoscopy?
Individuals who are at risk for colorectal cancer or have certain symptoms may be required to undergo open access screening colonoscopy.
How to fill out open access screening colonoscopy?
Open access screening colonoscopy is typically filled out by a healthcare provider or specialist who performs the procedure.
What is the purpose of open access screening colonoscopy?
The purpose of open access screening colonoscopy is to detect and prevent colorectal cancer by examining the colon for any abnormalities or precancerous polyps.
What information must be reported on open access screening colonoscopy?
The information reported on open access screening colonoscopy includes the findings of the procedure, any abnormalities detected, and recommendations for follow-up care.
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