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Basic History

Past Surgical History

February 15th, 2021


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  • Any past surgeries the patient has had.
  • For Each Procedure

  • Timing - when they had the procedure
  • Surgeon - who performed the procedure
  • Indication - why the procedure was performed, and what symptoms they were experiencing prior
  • Complications - whether the surgery resulted in any undesired effects, such as infection, bleeding or pain
  • Follow up - whether they continue to see their surgeon
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