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Orthopedic surgery / Skin grafting / Implants / Autotransplantation / Debridement / Burn / Graft / Surgery / Medicine / Transplantation medicine / Plastic surgery
Date: 2007-10-11 23:05:48
Orthopedic surgery
Skin grafting
Implants
Autotransplantation
Debridement
Burn
Graft
Surgery
Medicine
Transplantation medicine
Plastic surgery

Med Rec. No……………………………………………………… CONSENT FORM Surname:……………………………………………………………

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