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  History and Physical Examination for Outpatient Surgery

  To be completed by your Primary Care Physician

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  Patient Medication and Allergy List

  Use this form list all medications that you take regularly and all medications that you will have taken within 2 weeks before your scheduled surgery. (Include vitamins and herbs.)

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  Post-Operative Instructions - Verruca (Wart) Surgery

  Important instructions for proper healing.