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.
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Informed Consent Sheet
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Patient Education - Nitroglycerin Ointment
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Patient Education - Post-Band Follow-up Care
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Prescription Medication Sheet |
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Fiber Recommendations
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Initial Visit Patient Note
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Progress Note
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Super Bill
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Information for Cross Covering Physicians
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