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Patient labelGENERAL SURGERY REFERRAL FORM Division of General Surgery, 4th Floor Cardinal Carter St. Michael's Hospital 30 Bond Street Toronto, ON M5B 1W8 FAX REFERRAL TO: 4168645531 BENIGN GENERAL
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To fill out St. Michael's general surgery form, follow these steps:
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Start by providing your personal information such as your full name, date of birth, contact details, and address.
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Next, provide your medical history including any past surgeries, current medications, and any known allergies.
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Specify the reason for seeking general surgery at St. Michael's. Provide details about your condition, symptoms, and any previous consultations or diagnoses.
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If you have any relevant medical reports or test results, attach them to the form.
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Indicate your preferred appointment date and time, if applicable.
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St. Michael's general surgery is suitable for individuals who require surgical procedures to address a wide range of conditions. This includes but is not limited to the following:
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It is important to consult with a qualified healthcare professional to determine if St. Michael's general surgery is appropriate for your specific needs.
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St. Michael's General Surgery is a department within St. Michael's Hospital that specializes in surgical procedures.
Patients requiring surgery or healthcare providers referring patients for surgical consultation are required to utilize St. Michael's General Surgery services.
To fill out St. Michael's General Surgery forms, patients need to provide personal information, medical history, insurance details, and the reason for surgery.
The purpose of St. Michael's General Surgery is to provide specialized surgical care and treatment for patients in need.
Information such as patient demographics, medical history, surgical procedure details, and post-operative care instructions must be reported on St. Michael's General Surgery forms.
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