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Dear Prospective Moss Patient, You are being sent this packet because your physician has identified either a basal cell or squamous cell carcinoma on your skin, and is recommending Moss surgery as
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Start by gathering all the necessary information and documents required for filling out the form.
02
Begin by entering your personal details such as your full name, date of birth, and contact information.
03
Fill in the medical history section accurately, providing details about any previous surgeries, existing health conditions, and medications currently being taken.
04
Specify the reason for seeking Mohs surgery and include any relevant details about the affected area or condition.
05
Include any additional information or specific instructions provided by your doctor or healthcare provider.
06
Review the form to ensure all the filled information is accurate and complete.
07
Sign and date the form to acknowledge your consent and understanding.
08
Submit the filled-out form to the designated recipient or healthcare facility as instructed.

Who needs dear prospective mohs patient?

01
Anyone who is a prospective Mohs patient and intends to undergo Mohs surgery should fill out the 'Dear Prospective Mohs Patient' form.
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Dear prospective Mohs patient is a form that provides information about the Mohs surgery procedure to patients who are considering undergoing it.
Medical professionals who perform Mohs surgery are required to provide the dear prospective Mohs patient form to their patients.
The dear prospective Mohs patient form can be filled out by the medical professional providing the information about the Mohs surgery procedure to the patient.
The purpose of the dear prospective Mohs patient form is to educate patients about the Mohs surgery procedure and provide them with important information so they can make informed decisions.
The dear prospective Mohs patient form must include information about the risks, benefits, and alternatives to Mohs surgery, as well as details about the procedure itself.
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