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WRHA SURGERY PROGRAM PREoperative Assessment Patient Questionnaire DATE COMPLETED DD/MMM/YYYY PHIN Please fill out this form questions 1 - 33 to help our Health Care Team meet your medical needs. SAP 325364 W-00350 May 2016 WRHA Surgery Program Preoperative Assessment Patient Questionnaire Page 1 of 4 Patient Name 13. A What language do you speak/understand English French Other O2 SATS b Will you need an interpreter 7. How old are you B Information 3. Home Cell...
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Date completed ddmmmyyyy refers to the specific date when a task or project was finished or finalized.
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The purpose of date completed ddmmmyyyy is to document the exact date when a specific task or project was completed.
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The information reported on date completed ddmmmyyyy should include the day, month, and year when the task or project was finalized.
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