Clearance Form For Surgery

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

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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.

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