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Get and Sign Medical H&P Preop Form 2018-2022
Hepatic Hepatitis Other Illnesses Previous Surgeries PHYSICAL EXAMINATION See reverse side for Review of Body Systems if admitted. Check if normal. Vital Signs Temperature Pulse Respiration BP Mental Status Normal Comments General Condition Normal Comments ENT Neck Heart Lungs Abdomen Chest Skin Genitalia Extremities Pelvic/Rectal Neurological Osteopathic Structural Exam Diagnosis/Impression Planned Treatment/Procedure Physician Signature MD/DO Printed Name DateTime CONDITION AT TIME OF SURGERY...
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