State of Nevada   Board of Medical Examiners In-Office Surgery Survey Forms

        

        In-Office Surgery Reporting Form, Form A

           To report in-office surgical procedures performed during the previous year (2007),

             download this printable form (PDF File), to comply with annual reporting

             requirements.

        In-Office Surgery Sentinel Event Reporting Form

           To report sentinel events included on Form A for reporting of in-office surgical

             procedures performed during the previous year (2007), download this printable

             form (PDF File), to comply with annual reporting requirements.

 

        In-Office Surgery Reporting Form, Form B

           If you DID NOT perform any in-office surgical procedures during the 

             previous year (2007), download this printable form (PDF File) to comply with 

            annual reporting requirements.

        In-Office Surgery Reporting Form Instructions

              IMPORTANT:  Please read before completing any In-Office Surgery Reporting

            Forms.

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