Forms

Forms

Forms required before your Surgery or Consultation

Please find buttons to click on for the validated questionnaires my practice uses in order to initially assess the degree of pain and disability related to a joint problem and we use the same forms to compare a “before” and “after” surgery result in terms of long-term outcomes.  My staff will on a fairly regular basis contact you to complete these forms.  This is vital information and I realise it takes up some of your time but in the long run will facilitate scientific re-evaluation of procedures in order to continually improve our service.  These results will ultimately be used in academic presentations for the greater good with respect to medical care and education.

 

I would like to thank you in advance for their completion.

Patient Info

 Information Required

before your Consultation

History

Patient Background

Medical History

Questionnaire

Pre-Assessment

for guidance with your pain

SF12

Keeping Track of your

Usual Activities

HOOS

Hip Outcome

Questionnaire

iHot12

Hip Questionnaire

if your under 45

KOOS

Knee Outcome

Questionnaire