Medical Clearance For Surgery Form

Medical Clearance For Surgery Form - The patient is not cleared for surgery. Latex if yes, days before surgery. Before a patient can go into surgery, this form should be filled out to verify that they're physically capable of undergoing the procedure. We are requesting a medical evaluation for surgical clearance.

Before a patient can go into surgery, this form should be filled out to verify that they're physically capable of undergoing the procedure. We are requesting a medical evaluation for surgical clearance. Latex if yes, days before surgery. The patient is not cleared for surgery.

We are requesting a medical evaluation for surgical clearance. Latex if yes, days before surgery. The patient is not cleared for surgery. Before a patient can go into surgery, this form should be filled out to verify that they're physically capable of undergoing the procedure.

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Latex If Yes, Days Before Surgery.

We are requesting a medical evaluation for surgical clearance. Before a patient can go into surgery, this form should be filled out to verify that they're physically capable of undergoing the procedure. The patient is not cleared for surgery.

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