Physician Forms


	Any use, duplication or distribution of these documents is prohibited without the prior express permission of Colorectal Surgery Services, PLLC or its physicians.

Office Visits	Fax Reports	Inra-Office Orders	Procedure Documentation
H&P Initial Office Visit - Abdominal H&P Initial Office Visit - Anorectal First Postoperative Visit Progress Note	Established Pt Fax Report to Referring Doctor New Pt Fax Report to Referring Doctor	Preoperative Request Form Clinical Request Form	Consent for Office Procedure Anal Procedure Documention RBL & IRC Documentation

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210-490-2828 | 1-866-259-3778 | Fax: 210-490-0505 | info@colorectalss.com