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        Patient Forms

   

 

    Colon and Rectal has Partnered with Phreesia for filling out part of our forms online.

After your appointment is scheduled by our office, you will be receiving a email or text from Phreesia 5 days prior to your appointment to complete your intake paper work. For best results please use a mobile device with a camera so you can upload a picture of your drivers license and insurance card.

Our office will also be sending out a Other Paper work and Medical Questionnaire separately by email. If you did not get it, you can use the link below to get the form.

Click on the PDF Version below that can be downloaded to your computer and filled out then printed.
You can also print the PDF version and fill it out by hand.
To download the PDF version look for the download button typically located at the upper right hand corner of the screen depending on your browser. You will need the free Adobe Reader to fill it out on your computer and print the forms. To sign the form digatley you will need to have a digital signature on your reader or you can sign by hand after you print it.

After completing the form, you can:

Upload documents to our Office:
Call our office for instructions on how to upload files to our office.
(215) 517-1250
Please include copy of your driver's license, insurance card and COVID-19 vaccination card!


Mail to:

Colon and Rectal Associates, LTD
1235 Old York Road,
Suite G 20
Abington, PA 19001
Please include copy of your driver's license, insurance card and COVID-19 vaccination card!


Fax to:
(215) 517-0821
Please include copy of your driver's license, insurance card and COVID-19 vaccination card!


Drop them off at our Office:
1235 Old York Road, Suite G 20, Abington, PA 19001
Please bring your driver's license, insurance card and COVID-19 vaccination card!



Please bring your driver's license, insurance card and COVID-19 vaccination card to your appointment.

Call our office if you have any questions!
(215) 517-1250
     

PDF Versions are below
 
   
Office Visit Checklist  
   
Open Access Packet Instructions  
   
Abington & Holy Redeemer Office Visit Package
( Check appointment card for location)
 
   
Office Prep Instructions  
   
Notice of Privacy Practices (HIPAA)  
   
COVID-19 Screening Form  
         
     
     

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