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Este formulario de referencia es necesario para programar una cita en la clínica de gastroenterología funcional de UNC. Debe ser completado por el paciente o su médico y enviado a la clínica con
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How to fill out unc gastroenterology new patient
How to fill out UNC Gastroenterology New Patient Referral Form
01
Obtain the UNC Gastroenterology New Patient Referral Form from the UNC Health website or your healthcare provider.
02
Fill out the patient's personal information including name, date of birth, and contact details.
03
Provide the insurance information, including policy number and subscriber name.
04
Complete the reason for referral, specifying symptoms or conditions that necessitate the consultation.
05
Include any relevant medical history, including previous diagnoses and treatments.
06
Sign the form to authorize the release of medical records if applicable.
07
Submit the completed form to UNC Gastroenterology via fax or online submission as instructed.
Who needs UNC Gastroenterology New Patient Referral Form?
01
Patients experiencing gastrointestinal symptoms such as abdominal pain, reflux, or changes in bowel habits.
02
Individuals needing evaluation for conditions like inflammatory bowel disease, liver disease, or gastrointestinal cancers.
03
Patients requiring follow-up care after previous gastrointestinal treatments or procedures.
04
Referring healthcare providers seeking specialist consultation for their patients.
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People Also Ask about
How do I schedule a GI procedure at UNC?
Schedule a GI procedure or motility test Please fax a completed GI procedure referral form (available here) or GI motility referral form (available here) to 919-966-8764. Our scheduling team will call and ask the patient a short series of questions before scheduling the appointment.
How do I schedule a colonoscopy at UNC?
To make an appointment for a colonoscopy, call 984-974-5050. You may also ask your doctor for a referral.
What is considered a GI procedure?
What is an upper GI endoscopy? An upper gastrointestinal (or GI) endoscopy is a test that allows your doctor to look at the inside of your esophagus, stomach, and the first part of your small intestine, called the duodenum.
Who is the chief of the UNC GI Division?
Millie Long Appointed Chief of the UNC Division of Gastroenterology and Hepatology. Millie D. Long, MD, MPH, has been appointed Chief of the University of North Carolina Division of Gastroenterology and Hepatology, Ron Falk, MD, Chair of the UNC Department of Medicine announced on January 9, 2025.
How long does a GI appointment take?
You may see your doctor in a hospital or outpatient clinic. The first appointment will take 30 minutes to an hour to complete. During your first visit with your gastroenterologist, they will ask you about your family and personal health history, symptoms, previous treatments, and medications.
What is a gastroenterology referral?
If your GP thinks you need an endoscopy, they will refer you to a specialist in the gastroenterology or colorectal surgery department, who will assess you in clinic and arrange an endoscopy if it is necessary.
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What is UNC Gastroenterology New Patient Referral Form?
The UNC Gastroenterology New Patient Referral Form is a document used to refer patients to the gastroenterology department at UNC for evaluation and treatment.
Who is required to file UNC Gastroenterology New Patient Referral Form?
Healthcare providers, such as primary care physicians or specialists, are required to file the UNC Gastroenterology New Patient Referral Form on behalf of patients seeking consultation.
How to fill out UNC Gastroenterology New Patient Referral Form?
To fill out the UNC Gastroenterology New Patient Referral Form, the referring provider must complete patient information, clinical details, and any relevant medical history, then submit the form to the gastroenterology department.
What is the purpose of UNC Gastroenterology New Patient Referral Form?
The purpose of the UNC Gastroenterology New Patient Referral Form is to streamline the referral process and ensure that patients receive appropriate and timely gastrointestinal care based on their medical needs.
What information must be reported on UNC Gastroenterology New Patient Referral Form?
The form must report patient demographics, medical history, current medications, referral reasons, and any relevant clinical findings that may assist in the patient's evaluation.
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