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Patient Decision Checklist

Patient Decision Checklist

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• Clinical diagnosis of depression or other mental health disorder (including body dysmorphic disorder or eating disorder); or • Have other products permanently implanted in the breast. Patient Initials: _____ Risks of Breast Implant Surgery I understand that there are risks of undergoing breast implant surgery. I understand that risks of

  Body, Dysmorphic, Body dysmorphic

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