CRH Medical Products Corporation 

Clinical Forms

In order to support your hemorrhoid banding practice, the following documents are provided for download. Those documents marked with a red "DOC" are available for download in Microsoft Word to facilitate the use of your own letterhead and customized content.

Informed Consent Sheet

Patient Education - Nitroglycerin Ointment

Patient Education - Post-Band Follow-up Care

Prescription Medication Sheet
 

Fiber Recommendations

Initial Visit Patient Note

Progress Note

Super Bill

Information for Cross Covering Physicians