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Procedure Followup Instructions - 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

10 - Spinal Injection

11 - Foot Surgery

12 - Back Injection

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