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WEST BAR SURGERY New Patient Questionnaire Please complete this confidential questionnaire (one for each member of the family to be registered with the Practice). Please complete in BLOCK CAPITALS
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How to Fill Out West Bar Surgery:
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Begin by gathering all necessary personal and medical information. This includes your full name, date of birth, address, contact information, and any relevant medical history or current medications you are taking.
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Individuals suffering from severe gastroesophageal reflux disease (GERD) that does not respond to medication or lifestyle changes may need West Bar Surgery. This condition occurs when stomach acid flows back into the esophagus, causing persistent heartburn, chest pain, and other symptoms.
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West Bar Surgery is a legal procedure for individuals who wish to change their legal name.
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Anyone who wants to change their legal name through the court system is required to file West Bar Surgery.
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The petition for West Bar Surgery must include the current legal name, the desired new legal name, reasons for the name change, and any supporting documentation.
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