PREOPERATIVE HISTORY AND PHYSICAL
PAST MEDICAL HISTORY: 1. 2. 3. etc (physician mentions if old/outside records were reviewed) PAST SURGICAL HISTORY: 1. 2. 3. etc. Patient (denies/complains of) previous surgical or anesthetic complications. MEDICATIONS: 1. 2. 3. etc. ALLERGIES: 1. 2. etc. SOCIAL HISTORY: (married/single) (Smoker/non-smoker)(drugs/no drugs) (alcohol use) FAMILY ... ................
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