Graft Treatment Documentation Medical Form

Size of graft(s) applied	Graft(s) Brand
Graft(s) Serial Number(s)	Any wasted tissue/ product? Yes / No
Recommend further graft treatments? Yes / No

size(s), brand, serial number(s), any wasted product?, recommend further treatment?

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Published: Oct. 14, 2024, 12:18 p.m.
Doctor: Dr. History Physical
Rating: 0 /

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