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Patient Referral Form RGA Fax: 8152264948 Date: Consult Colonoscopy (Consult if determined necessary)Patient Name: Collaborating MD for NP/PA Referring Dr. Patient DOB: MD Phone: MD Fax: Patient Phone:
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Rockford Gastroenterology Associates Ltd is a medical practice specializing in gastrointestinal diseases and conditions, providing patient care, diagnostic services, and treatment.
Generally, entities such as corporations, partnerships, or limited liability companies in the gastroenterology field may be required to file for regulatory or tax purposes.
Filling out Rockford Gastroenterology Associates Ltd typically involves completing necessary forms related to business registration, tax filings, or healthcare compliance, which can usually be done through relevant state or federal agencies.
The purpose of Rockford Gastroenterology Associates Ltd is to provide specialized medical care for patients suffering from gastrointestinal disorders, promote health, and improve patient outcomes in digestive health.
Information that must be reported can include business identification details, revenue, number of employees, services provided, and compliance with medical regulations.
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