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standard-title Bennett Post-OP Patient Review Form

Bennett Post-OP Patient Review Form

You are here: Home \ Bennett Post-OP Patient Review Form
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  • (please tick the appropriate box below)
  • (please give details)
  • (one being very mild and ten being very severe)
    (if yes please give details of symptoms)
  • (It is very important to provide an exact date of onset of symptoms - your health insurer will determine based on this date as to whether or not you are covered for orthopaedic surgery. Some insurance plans may have excesses / co-payments)
  • (one being very mild and ten being very severe)
    (If yes please give details)
  • • All post op and review appointments need an up to date X-ray within 6 months of appointment date.
    • 6 Month post op appointments need an up to date X-ray , within 2 months of your appointment date.
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