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Enter Fin (Not Mrn) State Your Name, Patient Name, Patient Mrn And Fin, Admitting Attending, Date.

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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. (h&p must be within 30 days of procedure) trihealth pre surgical services fax numbers: The h/p's need to be done within. Select the document you want to sign and click upload.

Web Head Circumference Then State “Remove Head Circumference From This H&P Template.”) If You Do Not Ask For It To Be Removed, It Will Be There And Remain Blank!

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