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Patient Name:
Hospital Number (HN):
Specialty:
Allergy & Immunology
Anti-Aging Medicine
Aviation Medicine
Cardiology
Clinical Nutrition
Critical Care Medicine
Dental
Dermatology (skin)
Emergency Medicine
Endocrinology (diabetes, thyroid, hormones)
Family Medicine
Forensic Medicine
Gastroenterology
General Medicine
Hematology (blood)
Hyperbaric and Underwater Medicine
Infectious Disease
Internal Medicine (geriatric)
Internal Medicine
Medical Genetics
Nephrology (kidney)
Neurology (nerves)
Neurosurgery
OB/GYN (women)
Oncology (cancer)
Ophthalmology (eyes)
Orthopaedics (bones and joints)
Otolaryngology (ears, nose & throat)
Pathology
Pediatrics (children)
Physical Medicine and Rehabilitation
Plastic Surgery
Preventive Medicine (health check-up)
Psychology
Pulmonology (lungs)
Radiology
Rheumatology (muscles and joints)
Sleep Medicine
Spine Institute
Surgery
Toxicology and Occupational Medicine
Transplant Hepatology
Urology
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