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Tonsillectomy / Adenoidectomy / Pharyngeal tonsil / Consent / Blood transfusion / Bleeding / Medicine / Anatomy / Blood


Med Rec. No………………………………………………………….. CONSENT FORM FOR TONSILLECTOMY ± ADENOIDECTOMY
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Document Date: 2007-10-11 23:05:51


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MedicalCondition

infection / scar / pain / constipation / needlestick/sharps injury / nausea / skin rash / HIV / blood clot / ear pain / lightheadedness / disorders / sore throats / /

MedicalTreatment

blood transfusion / /

Person

CONSENT FORM FOR TONSILLECTOMY / /

Position

specialist surgeon / Date signature Interpreter / surgeon / INTERPRETER / /

Product

Under / /

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