Clearance Form For Surgery

Clearance Form For 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. 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. Latex if yes, days before 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.

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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.

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