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Telephone Visit?
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Date of Surgery
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Type Of Surgery
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Location Of Surgery
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Free Text
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MEDICATIONS
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1. Post op Meds
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Directions
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Directions (Other)
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2. Post op Meds
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Directions
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Directions (Other)
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3. Post op Meds
• • •
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Directions
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Directions (Other)
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Other Medication Name and Dosage
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Directions
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Directions (Other)
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MEDICATION WARNING
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Free Text
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Note Created By:
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Salutation
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