Medical Clearance For Surgery Form

Medical Clearance For Surgery Form - We are requesting a medical evaluation for surgical clearance. 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. 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. The patient is not cleared for surgery. We are requesting a medical evaluation for surgical clearance.

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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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. We are requesting a medical evaluation for surgical clearance. Latex if yes, days before surgery.

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