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SURGERY AUTHORIZATION FORM Please fill this form out to the best of your knowledge. Please ask your surgery technician for pricing information at time of surgery checking. Client Information Name:
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It is a form that grants permission for a surgical procedure to be performed.
The patient or their legal guardian is typically required to file the surgery authorization form.
The form usually requires basic information such as patient's name, date of birth, medical history, and details of the surgery.
The purpose of the form is to ensure that the patient understands the risks and benefits of the surgery and consents to the procedure.
Information such as patient's name, contact information, insurance details, medical history, and details of the surgery must be reported on the form.
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