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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The Following Test(S) Are To Be Obtained Prior To The Planned Surgical Procedure:

We are requesting a medical evaluation for surgical clearance.

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