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Fax all Forms to: (704) 372-3605 Open Access Screening Colonoscopy Referral Form This screening program is for well patients, (no significant gastrointestinal symptoms), between 50 and 75 years, limit
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Visit the Carolina Digestive Health Associates website or go to their office to obtain the necessary forms.
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Begin by providing your personal information, including your full name, address, phone number, and date of birth.
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Fill in your medical history accurately, including any previous diagnoses, surgeries, or medications you are currently taking.
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Provide your insurance information, including the name of your insurance provider and your policy number.
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Who needs Carolina Digestive Health Associates:

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Individuals experiencing digestive health issues such as chronic indigestion, acid reflux, or irritable bowel syndrome.
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Individuals looking for expert advice and guidance on dietary and lifestyle changes to support improved digestive function.
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Patients requiring diagnostic procedures like endoscopy, colonoscopy, or other tests to identify and treat digestive disorders.
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Carolina Digestive Health Associates is a medical practice specializing in digestive health and gastrointestinal issues.
Carolina Digestive Health Associates is typically filed by medical professionals or healthcare providers associated with the practice.
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The purpose of Carolina Digestive Health Associates is to ensure proper documentation and reporting of the medical practice's activities, services, and financial information.
Information such as patient demographics, diagnoses, procedures performed, medications prescribed, billing codes, and payment information must be reported on Carolina Digestive Health Associates.
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