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Email Relative Contraindications Hospital No X. Anticoagulant Therapy G. 1st Tx date. i.e. Aspirin 2nd Clopidrogel etc Tx date. 42-52 Nottingham Place London W1U 5NY Contraindication Checklist please tick DoB. YES Address. Absolute Contraindications Pregnancy NO Telephone number. HCA Booking Form ESWL - Urology For completion by consultant Please phone Reservations on 020 7908 2001/2 for scheduling Patient Name. 3rd Tx date. Presence of Urinary Tract Infection Please tick relevant box if you...
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