Medical Operation Request and Worksheet A4107 - DA
Form Template
This mobile app is used to process requests for surgeries and medical operations.
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The user can compile a request for a patient by specifying information such as priority, diagnosis, staff, surgeons, instructions, etc. The next section allows the user to document results of the operation such as the work performed and complications. This app is built in compliance with the Army and can be used in any medical field.
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