New Patient Forms - Joint Replacement Surgery

Taking Blood Thinner, Balancing Your Life with Lifesaving Medication

All Patients

1. Center for Joint Replacement Surgery, New Patient

FormHip Patients Patient Scheduled for Hip Surgery

1. EQ-5D-5L Health-Related Quality of Life
2. WOMAC - Index of Osteoarthritis
3. Hip Replacement Expectations Survey Pre Surgery
4. UCLA Activity Score
5. SF12 Health Survey

Follow up Patient “Hip” Forms

1. EQ-5D-5L Health-Related Quality of Life
2. WOMAC - Index of Osteoarthritis
3. Hip Replacement Expectations Survey Post Surgery
4. UCLA Activity Score
5. SF12 Health Survey

Knee Patients Patients Scheduled for Knee Surgery

1. Knee Replacement Expectations Survey Pre Surgery
2. KOOS Knee Survey
3. Knee Society Score: Pre Op
4. WOMAC - Index of Osteoarthritis
5. EQ-5D-5L Health-Related Quality of Life
6. UCLA Activity Score
7. SF12 Health Survey

Follow up “Knee” Forms

1. Knee Replacement Expectations Survey Post Surgery
2. KOOS Knee Survey
3. Knee Society Score: Post Op
4. WOMAC - Index of Osteoarthritis
5. EQ-5D-5L Health-Related Quality of Life
6. UCLA Activity Score
7. SF12 Health Survey