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. 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. 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.

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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.

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