Patient Information: (Please Print) - Landmark Urology
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ICD-10 Chapter XVII: Congenital Malformations, Deformations ...
Congenital cataract (Q) Congenital displaced lens (Q Coloboma of lens (Q) Other congenital malformations of vas deferens, epididymis, seminal vesicles and prostate (Q) Congenital absence and aplasia of penis Cervical rib (Q) Other congenital malformations of ribs (Q ... Read Article
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Laser surgery of prostate 52648 52700 Drainage of prostate abscess 53000 Incision of urethra D&c of cervical stump 57700 Revision of cervix 57720 58120 Dilation and curettage secondary cataract 66821 After cataract laser surgery 66825 Reposition intraocular lens 66830 Removal of lens lesion ... Get Document
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Name Date - Urology Associates
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Breast Cancer Enlarged Heart Leukemia Suicide Biopsy of Prostate Indigo Laser Surgery Stomach Surgery Carpal Tunnel Surgery (L or R or both) Laminectomy TMJ Surgery Cataract Surgery (L or R or both) Laparoscopy TUMT Prostate Cervical Spine Surgery Laparatomy TUR Prostate Cholecystectomy ... View Document
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New Patient Information Women’s Health Specialty Care
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Name: Date: Referring Doctor: Family Doctor
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Name: Date: Referring Doctor: Family Doctor:
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New Patient Information Form
Enlarged Heart . Heart Attack . Heart Block Cataract Surgery . Corneal Surgery . Ear Surgery . Eye Surgery TMJ Surgery . Musculoskeletal. Amputation . Arthroscopic Knee Surgery . Back Surgery . Carpal Tunnel Surgery . Cervical Spine Surgery . Disc Surgery . Foot Surgery . Hand Surgery ... Visit Document
Indicate If You Have Or Have Had Any Of The Following ...
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HISTORY FORM 2
Enlarged Heart Heart Attack Heart Block Heart Disease Heart Murmur (Laser Ablation of _____ Cervical Spine Surg _____ Ileostomy _____ Needle Biopsy Prostate _____ Cataract Surgery _____ Laparascopy ... Document Retrieval
www.dol.gov
Laser surgery of prostate 52648 52700 Drainage of prostate abscess 53000 Incision of urethra 53010 secondary cataract 66821 After cataract laser surgery 66825 Reposition intraocular lens 66830 Removal of lens lesion Resect enlarged toe tissue 28341 Resect enlarged toe 28344 Repair extra ... Fetch Full Source
PHARMACY Name: - Urology Associates
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Cataract Surgery Glaucoma Surgery Surgery of the Cervical Spine The Surgical Treatment of an Enlarged Prostate 100 copies @ $1.10 each: $110 (ex gst) ... Doc Viewer
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