Pre Op Clearance Template

Pre Op Clearance Template - We are requesting a medical evaluation for surgical clearance. The following test(s) are to be obtained prior to the planned surgical procedure:

The following test(s) are to be obtained prior to the planned surgical procedure: We are requesting a medical evaluation for surgical clearance.

We are requesting a medical evaluation for surgical clearance. The following test(s) are to be obtained prior to the planned surgical procedure:

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We Are Requesting A Medical Evaluation For Surgical Clearance.

The following test(s) are to be obtained prior to the planned surgical procedure:

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