Consents Apr 06, 2016 SMITH, JON 555-55-5501 INPATIENT UNIT Dec 1, 1974 (42) * * * WORK COPY ONLY * * * Printed: Jul 25, 2017 06:35 LOCAL TITLE: CONSENTS DATE OF NOTE: APR 06, 2016@09:15 ENTRY DATE: APR 06, 2016@09:15 AUTHOR: CLERK, EIGHT EXP COSIGNER: URGENCY : STATUS: COMPLETED Consent for: Consious sedation for colonoscopy, Esophagogastroduodenoscopy and any possible biopsies. Consent reviewed by patient: Consent signed by patient: YES Consent reviewed by physician: YES Consent signed by physician: YES Procedure (s) discussed with patient: YES Physician (s) who spoke with patient : Doctor One Consent with patient chart: YES /es/ EIGHT CLERK FACULTY Signed: 04/06/2016 09:15 End of report