Final project

Consents Apr 06,2016

INPATIENT UNIT ========================================================================== *** WORK COPY ONLY *** Printed: Jul 25, 2017 06:35

LOCAL TITLE: CONSENTS DATE OF NOTE: APR 06, 2016@09:15 ENTRY DATE: APR 06, 2016@09:15

AUTHOR: CLERK,EIGHT EXP COSIGNER: URGENCY: STATUS: COMPLETED

Consent for: Consious sedation for colonoscopy, Esophagogastroduodenoscopy and any possible biopsies.

Consent reviewed by patient: Consent signed by patient: YES

Consent reviewed by physician: YES Consent signed by physician: YES Procedure(s) discussed with patient: YES Physician(s) who spoke with patient: Doctor One

Consent with patient chart: YES

/es/ EIGHT CLERK FACULTY Signed: 04/06/2016 09:15

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SMITH, JON 555-55-5501 Dec 1, 1974 (42)