Dermatology

                                                                                                                       Robert M Rosen, D. O.

Multiple Mohs repair report
Dx 1 or fill in:      Prep repair 1 justification
  Local(#CC)

 Margins  

 down to
 Defect details (based, etc):
Mohs necessity biopsied  Clinically Dx re-excision
Deepor skin suturesor
special

 Post-opRx

flap graph length diameter cm Site
Dx 2 or fill in:      Prep repair 1 justification
  Local(#CC)

 Margins  

 down to
 Defect details (based, etc):
Mohs necessity biopsied  Clinically Dx re-excision
Deepor skin suturesor
special

 Post-opRx

flap graph length diameter cm Site
Dx 3 or fill in:      Prep repair 1 justification
  Local(#CC)

 Margins  

 down to
 Defect details (based, etc):
Mohs necessity biopsied  Clinically Dx re-excision
Deepor skin suturesor
special

 Post-opRx

flap graph length diameter cm Site  
Returndays,  Weeks

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