Forms iHot12

Questionnaire for Hip Patients Under 45

Questionnaire on your Hip Symptoms if you are under the age of 45

If you having HIP SURGERY and YOU ARE 45 yrs old or less, then you need to complete this quetionnaire. It relates to the expectation that you are more active. The reasons are as for the HOOS questionnaire that you have already completed. There may be some overlap. Many thanks.

Step 1 of 2

Book a Consultation:

Personal Assistant to Dr Munting

Merle Hermanus

+27 21 424 0725/6

Settle my Account:

Accounts & Admin

Sheneal Moultrie

+27 21 424 0726

Find Us:

Netcare Christiaan Barnard Memorial Hospital

25 D.F. Malan St, Foreshore,

Cape Town, 8001

Find on Map