Unusual surgeries

    • [DOC File]PSYCHOLOGY TESTING REFERRAL FORM

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      Yes No Seizure Disorder? Yes No Surgeries? Yes No Pregnant? Due Date: Number of Pregnancies: Number Live Births: Other: Details: 13. Legal Involvement (court appearance, probation, etc) If YES, describe Yes No Current? Yes No History? Details: 14. ATTACH REQUIRED DOCUMENTATION – CANNOT PROCESS IF NOT INCLUDED. Please separate and staple each document. Do NOT …


    • [DOCX File]TYPES OF ROBOTICS SURGERY

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      In fact, it’s not unusual for a surgeon to have performed thousands of these operations, starting in the 1990′s. (The earliest robotic assisted operation was in 1985.) The actual machinery for Prostate Robotics Surgery is named the da Vinci surgical system. It allows the prostate to be operated on, or removed without having to open the patient’s body, like most surgeries. Four small ...


    • [DOC File]YOUR CLINIC INFORMATION

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      What hospitalizations, surgeries or injuries has your child had? Immunizations. Polio Y N Pertussis Y N. Tetanus shot Y N Diphtheria Y N . Measles/Mumps/Rubella Y N Influenza Y N Any adverse reactions? Y N If yes, what ? Allergies. Is your child hypersensitive or allergic to: Any drugs? Any foods? Any environmentals? Breast fed? _____ how long? _____ Formula? ____ milk / soy ____ Typical Food ...


    • [DOCX File]Domestic abuse – Transcript

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      Now domestic abuse is an unusual crime in that it’s not something that is limited by deprivation so domestic abuse cuts across all social, economic, racial, gender barriers and can affect anybody so we know that one in four women for example in Scotland will be victims of domestic abuse at some point in their lives and for men there is a similar figure but it’s just not as much. So we try ...


    • [DOC File]Borealis Naturopathic Health Centre

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      Borealis Naturopathic Health Centre. 615 Davis Drive, Suite 302. Newmarket, Ont L3Y 2R2. Tel. 905-830-1236. Fax 905-830-1226. PEDIATRIC INTAKE FORM (Age: 0 to 10)


    • [DOC File]Patient Intake Form - Synergea Family Health Centre Inc.

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      Unusual menses Painful periods Clots Heavy ٱ Light Irregular periods Last PAP _____ Vaginal discharge Vaginal sores Breast lumps Changes in body / psyche prior to menses _____ Do you practice birth control? Y /N. What type and for how long? _____ Could you be …


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