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2090A W Arlington Blvd, Greenville, NC 27834 Mon Fri 7:45am4pm 252.754.5253 easternrad.com Patient Name DOB / / Date / / MAN CONSULT: UTERINE FIBROID What brought you to our clinic: GYNECOLOGICAL

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What is uterine fibroid consult form?

The uterine fibroid consult form is a document used to gather information about a patient's history, symptoms, and potential treatment options related to uterine fibroids.

Who is required to file uterine fibroid consult form?

Patients who have been diagnosed or suspect they have uterine fibroids, as well as healthcare providers involved in their care, are required to file the uterine fibroid consult form.

How to fill out uterine fibroid consult form?

The form can be filled out by providing accurate information about the patient's medical history, symptoms, and any previous treatments or tests related to uterine fibroids.

What is the purpose of uterine fibroid consult form?

The purpose of the uterine fibroid consult form is to help healthcare providers assess the patient's condition, make treatment recommendations, and track the progress of the patient's care.

What information must be reported on uterine fibroid consult form?

The form may ask for information such as the patient's symptoms, medical history, family history, previous treatments, and any current medications.

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