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Crowns/Ulcerative Colitis Enrollment Format: Select Option Phone: Select OptionPATIENT INFORMATIONPRESCRIBER INFORMATIONPlease complete the following or send patient demographic sheetPrescribers Impatient

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Crohn's disease is a type of inflammatory bowel disease.

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Information such as symptoms, medical history, treatments, and any complications related to Crohn's disease may need to be reported.

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