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Macquarie Skin Cancer Clinic Pre Appointment Form

Macquarie Skin Cancer Clinic Pre Appointment Form

Use a skin cancer clinic bellerive 0 template to make your document workflow more streamlined.

Or suspicious lesions Yes Please list any treatment/surgery and approximate date of treatment Site of treatment/surgery i.e. scalp face left leg etc Melanoma history in your family Performed by Are you of Aboriginal or Torres Strait Islander origin Please tick the following for any history of Asthma Diabetes Bleeding disorders Excessive bruising Headaches Blood clots Heart related problems Smoking Please answer the following for any history of adverse reactions Previous reaction to anaesthetics...
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