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REVIEW OF SYMPTOMS Name: Date of Birth: YES NO CONSTITUTIONAL: Fever Night Sweats Weight Gain (lbs) Weight Loss (lbs) Exercise Intolerance Additional Notes EYES: Dry Eyes Irritation Vision Changes
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Start by accessing the website surgicalpracticesofstxcom and locating the reviewofsymptoms form.
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Who needs reviewofsymptoms - surgicalpracticesofstxcom:
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Patients who are scheduled for a surgical procedure at a surgical practice in the STX region may need to fill out the reviewofsymptoms form. It is a common requirement to assess the patient's health status before the surgery.
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Individuals who have been directed by their healthcare provider to provide a comprehensive review of their symptoms may also need to complete this form.
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Any person seeking medical services and treatments from the surgical practice may be required to fill out the reviewofsymptoms form as a standard procedure.
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