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Surgery / Gastrointestinal cancer / Digestive system surgery / Percutaneous endoscopic gastrostomy / Gastrostomy / Feeding tube / Stoma / Esophageal cancer / Percutaneous / Medicine / Enteral feeding / Endoscopy


Med Rec. No……………………………………………………… CONSENT FORM Surname:……………………………………………………………
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Document Date: 2007-10-11 23:05:51

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File Size: 223,92 KB

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Facility

HOSPITAL Med Rec / /

IndustryTerm

liquid food / suitable site / tube site / /

MedicalCondition

gastro-oesophageal reflux / pain / pneumonia / drowsiness / HIV / infectious diseases / infection / high blood pressure / small scar / nausea / heart disease / diabetes / lightheadedness / Hepatitis B / /

MedicalTreatment

Antibiotics / /

Organization

US Federal Reserve / /

Person

CONSENT FORM FOR PERCUTANEOUS ENDOSCOPIC / /

Position

Signature Interpreter / INTERPRETER / /

SocialTag