Pre Op Clearance Form Pdf

Pre Op Clearance Form Pdf - The patient is not cleared for surgery. I have discussed the alternative treatment options and. The patient is cleared for surgery. Please print your contact information to ensure you receive a copy of the operative report. The surgeon (physician of record) may complete the medical clearance h/p form for the patient, or defer it to the primary medical physician.

The surgeon (physician of record) may complete the medical clearance h/p form for the patient, or defer it to the primary medical physician. I have discussed the alternative treatment options and. The patient is not cleared for surgery. The patient is cleared for surgery. Please print your contact information to ensure you receive a copy of the operative report.

I have discussed the alternative treatment options and. The surgeon (physician of record) may complete the medical clearance h/p form for the patient, or defer it to the primary medical physician. The patient is cleared for surgery. Please print your contact information to ensure you receive a copy of the operative report. The patient is not cleared for surgery.

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The Surgeon (Physician Of Record) May Complete The Medical Clearance H/P Form For The Patient, Or Defer It To The Primary Medical Physician.

Please print your contact information to ensure you receive a copy of the operative report. The patient is cleared for surgery. The patient is not cleared for surgery. I have discussed the alternative treatment options and.

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