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Colon & Rectal Surgery Britton R. West, M.D. Glen D. Hooker, M.D. Eduardo D. Castillo, M.D. Lori L. Gordon, M.D.www.txcolonrectal.com 1420 Eighth Ave., Suite 103 Fort Worth, Texas 76104 Tel: (817)

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How to fill out request for follow-up colonoscopy

01

Contact your healthcare provider to request a follow-up colonoscopy.

02

Provide any necessary personal information such as insurance details and medical history.

03

Schedule the procedure at a convenient time and location.

04

Follow any preparation instructions given by your healthcare provider before the colonoscopy.

05

Attend the appointment and discuss the results with your provider afterwards.

Who needs request for follow-up colonoscopy?

01

Anyone who has had a previous colonoscopy and requires further screening or monitoring.

02

Individuals with a history of polyps, colorectal cancer, or other gastrointestinal issues may need a follow-up colonoscopy.

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What is request for follow-up colonoscopy?

Request for follow-up colonoscopy is a formal document submitted by a patient to their healthcare provider to schedule a follow-up colonoscopy procedure.

Who is required to file request for follow-up colonoscopy?

Patients who have previously undergone a colonoscopy procedure and have been advised to schedule a follow-up colonoscopy are required to file a request for follow-up colonoscopy.

How to fill out request for follow-up colonoscopy?

To fill out a request for follow-up colonoscopy, patients need to provide their personal information, medical history, previous colonoscopy results, and any specific instructions or concerns.

What is the purpose of request for follow-up colonoscopy?

The purpose of the request for follow-up colonoscopy is to ensure timely scheduling of the procedure to monitor and evaluate the patient's colon health.

What information must be reported on request for follow-up colonoscopy?

The request for follow-up colonoscopy must include the patient's name, contact information, medical history, previous colonoscopy results, and any specific concerns or instructions.

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