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Patient history questionnaire if the patient has completed this form in the last. Include details of prior airway concerns or. Patient history questionnaire if the patient has completed this form in the last. Edit your surgical clearance form online. You can also download it, export it or print it out. Web are you considering to get pre op clearance form pdf to fill? All forms are printable and. £ smoking status, # pack years: Edit your preoperative clearance form online. The child must be examined and the history. Web basic history and physical date _____ (guideline for h & p and the minimum that the hospital requires) name _____ preoperative diagnosis/present illness _____
