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Surgical oncology / Colectomy / Hernia / Bloating / Surgery / Diverticulitis / Bowel obstruction / Medicine / Digestive system surgery / Colon


Med Rec. No………………………………………………………… CONSENT FORM Surname:………………………………………………..……………
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Document Date: 2007-10-11 23:05:53

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File Size: 213,49 KB

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MedicalCondition

light-headedness / chest infection / pain / numbness / cut / incisional hernia / deep vein thrombosis / heart attack / HIV / disease / needlestick injury / infectious diseases / pulmonary embolism / infection / shortness of breath / high blood pressure / constipation / nausea / bloating / skin rash / heart disease / Hepatitis B / /

MedicalTreatment

Surgery / physiotherapy / blood transfusion / Antibiotics / /

Person

CONSENT FORM FOR RIGHT HEMICOLECTOMY / /

Position

specialist general surgeon / Date Signature Interpreter / surgeon / general surgeon / INTERPRETER / /

Technology

ultrasound / /

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