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Patient Forms |
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We have two options for our
Open Access forms.
Option #1:
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 vesion look for the
download button typically located at the upper right hand conrer
of the screan dependingo your browser. You will need the free
Adobe Reader to fill it out on your computer and print the
forms.
After completing the forms, you can:
Mail to:
Open Access
Colon and Rectal Associates, LTD
1235 Old York
Road,
Suite G 20
Abington, PA 19001
Please include copy of your driver license, insurance card and
COVID-19 vaccination card!
Fax to:
(215) 517-0821
Please include copy of your driver
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
license, insurance card and COVID-19 vaccination card!
Option
#2:
Click on the Online version below that you can fill out and sign
digitally online.
It will ask you for your name and E-mail
to send you a email with a link to fill out the
forms.
Please check your Junk
Email Folder if you do not see it in your regular In Box!!
After completing the forms online, you
will need to bring your driver license, insurance card and
COVID-19 vaccination card to our office.
Please follow up with our
office within one week of dropping off the paper work! |
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Option #1:
PDF Versions are below |
Option #2:
Online Versions are below |
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Open Access Packet |
Open Access Packet |
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Copyright ⓒ 2023,
Colon And Rectal
Associates, Ltd., All Rights Reserved.
Web Site designed and
maintained by
Future Visions.
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