REFFERAL FORM FOR EXAMINATION SYSTEMIC AND DENTAL RISK DURATION OF CONTRAINDICATION...
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ENT (OTOLARYNGOLOGY) AND HEAD AND NECK SURGERY

High risk
    Cancer patients before non-surgical cancer therapy (chemo/radiotherapy)
Medium risk
    Patients with carotid lymphonoditis (acute/abscessed/chronic)
Low risk
    Odontogenic rhinosinusitis (acute/chronic)