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Click ‘Get Form’ to open it in the editor.
Begin by selecting one of the three referral options. Choose either the next available surgeon within a specific zone, a specific surgeon, or self-management only.
Indicate the affected joints by checking the appropriate boxes for left hip, right hip, left knee, or right knee.
Provide additional patient information regarding arthritis symptoms and previous treatments. Check 'Yes' or 'No' as applicable.
Fill in any other relevant medical conditions that may affect surgery eligibility and provide details about medications and allergies in the space provided.
Complete the referral source section by printing your name, entering your CPSNS number, signing, and dating the form.
Ensure all required fields are filled out accurately before submitting to avoid delays in processing.

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What type of doctor should I see for hip and knee pain?

Dont let hip or knee pain take control of your life. An orthopedic surgeon can discuss surgical options with you. Hip or Knee Pain? Let Us Help - Lakeland Regional Health Lakeland Regional Health hip-or-knee-pain-let-us-help Lakeland Regional Health hip-or-knee-pain-let-us-help

What does an orthopedic evaluation consist of?

Youll be referred to an orthopaedic surgeon by your rheumatologist if other treatments arent providing enough pain relief. You may also be referred by your GP or by a physiotherapist directly through physiotherapy assessment services provided by the NHS. Orthopaedic surgeon | Surgical treatments - Versus Arthritis Versus Arthritis treatments who-will-treat-you Versus Arthritis treatments who-will-treat-you

What are the top 10 most painful surgeries to recover from?

Shoulder replacement surgery, spinal fusion, and knee replacement surgery are often cited as some of the most painful orthopedic surgeries to recover from due to the extensive rehabilitation and pain management required.

What is the hardest orthopedic surgery to recover from?

However, the three most common diagnostic tests that they will run are physical examinations, X-rays, and MRIs. A physical examination is often the first test that is run before your doctor decides to follow up with additional tests. What to Expect During an Orthopedic Evaluation? | Dr. Thomas Gautsch Southern Sports Medicine orthopedic-evaluation Southern Sports Medicine orthopedic-evaluation

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