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Nociception / Pelvic pain / Uterine fibroid / Gynecologic ultrasonography / Laparoscopic surgery / Ovarian cancer / Prolapse / Polycystic ovary syndrome / Michael L. Brodman / Medicine / Gynaecological cancer / Gynaecology


WOMEN’S INSTITUTE (WI) Referral Form
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Document Date: 2011-11-21 11:06:05

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File Size: 25,28 KB

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Facility

Women’s Institute / Institute Referral Form Gyn/UroGyn Patient Name /

MedicalCondition

Painful Bladder Syndrome / Vulvovaginal disorder / Pain / ovarian cyst / Ovarian Syndrome / uterine fibroids / abnormal uterine bleeding / Colposcopy / lower genital tract disease / Interstitial cystitis / /

MedicalTreatment

surgery / Contraception / /

Organization

Women’s Institute / /

Position

PHYSICIAN / interpreter / /

Technology

ultrasound / /

SocialTag