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Hemorrhoids Form

Complete Your Appointment in 5 Simple Steps: Choose your type, fill in details, and confirm!

1

Patient Information

2

Risk factors for colorectal cancer

Medical History

3

Drug History

4

Any any red flag symptoms present?
Are symptoms typical of hemorrhoids?

Review of Symptoms

5

Available: Mon - Fri: 10 AM - 6 PM, Saturday: 10 AM - 2 PM

Select your Appointment Type
Appointment Time

Choose Appointment Type 

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