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My Follow Up Care - Component Instruction Entry Form
Please enter the component instructions below.
Use the Procedure ID below.
1 - Cataract Surgery
2 - Knee Replacement
3 - Hip Replacement
4 - Excisional Skin Biopsy
5 - LASIK Eye Surgery
6 - Appendectomy
9 - Cardiac Catheterization
Use Component Number below.
1 - Activity
2 - Bathing
3 - Diet
4 - Meds Post Procedure
5 - Routine Meds
6 - Wound Care
7 - Call Physician
8 - Emergency Care
9 - What To Expect
Procedure ID
Variation Number
Component Number
Instructions
Start Day Post-Procedure
End Day Post-Procedure