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Thoracic surgery / Thoracotomy / Pneumonectomy / Chest / Consent / VATS lobectomy / Medicine / Surgery / Lung cancer


Med Rec. No…………………………………………………………… CONSENT FORM Surname:…………………………………………………..……………
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Document Date: 2007-10-11 23:05:49

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File Size: 186,34 KB

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MedicalCondition

light-headedness / cut / needlestick/sharps injury / HIV / disease / lung infection / shortness of breath / pain in part of my chest / high blood pressure / constipation / nausea / skin rash / heart disease / disorders / /

MedicalTreatment

breathing exercises / catheter / surgery / physiotherapy / blood transfusion / /

Person

CONSENT FORM FOR THORACOTOMY / /

Position

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

Product

Under / /

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