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Hepatitis C Enrollment Form Medications AE (Plus)Fax Referral To: 18772325455 Phone: 18008961464 Address: 500 Ala Mona Blvd., Ste 1A Honolulu, HI 96813Six Simple Steps to Submitting a Referral1 PATIENT
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To fill out a gastroenterology form, follow these steps:
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Begin by entering your personal information, such as your name, date of birth, and contact details.
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Next, provide your medical history, including any previous diagnoses, surgeries, or medications you are currently taking.
04
Answer the questionnaire regarding your digestive symptoms, including information about your diet, bowel movements, and any discomfort or pain you may be experiencing.
05
If applicable, indicate any family history of gastrointestinal disorders.
06
Provide information about any recent tests or procedures related to your digestive system.
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Finally, review your form for accuracy and completeness before submitting it.
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Note: It is recommended to consult with a healthcare professional for any specific guidance or instructions regarding the form.

Who needs gastroenterology hi?

01
Gastroenterology is typically needed by individuals who are experiencing digestive problems or disorders.
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This includes people with symptoms such as stomach pain, bloating, diarrhea, constipation, acid reflux, or difficulty swallowing.
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Additionally, individuals with a family history of gastrointestinal diseases or those who require screening for conditions like colon cancer may also benefit from consulting a gastroenterologist.
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It is important to remember that only a healthcare professional can determine if gastroenterology services are appropriate or necessary for an individual's specific condition.

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