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Halifax Gastroenterology
1007 Gregory Dr.
Roanoke Rapids, NC 27870
Phone: 252-535-6478
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252-535-6478
1007 Gregory Dr., Roanoke Rapids, NC 27870
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Office and Patient Forms
Instructions for Colonoscopy with Miralax Prep
colonoscopy-miralax-prep.pdf
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Instructions for Colonoscopy with NuLYTELY Prep
colonoscopy-nulytely-prep.pdf
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Esophpagogastroduodenoscopy
halifax-gastro-egd-instructions.pdf
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Preparing for PillCam SB Capsule Endoscopy
prepare-pillcam.pdf
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Patient Registration
patient-registration-2017.pdf
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Patient Interview Form
halifax-gastro-patient-interview-form.pdf
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HIPAA Authorization Form
hipaa-auth2015.pdf
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Review of Symptoms
review-of-symptoms.pdf
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Suprep Procedure Instructions
colonoscopy-suprep.pdf
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Flexible Sigmoidoscopy
flexible-sigmoidoscopy-2017.pdf
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Nagarjuna Yerra, MD
1007 Gregory Dr., Roanoke Rapids, NC 27870
tel 252-535-6478 fax 252-535-6483
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