Get the free Colorectal Stent_Follow-up_Form - University of Birmingham

The Crest Trial Colorectal Stent Follow-up Form Patient Forename: Hospital Patient Surname: D.O.B /./ NHS Number: Stent number Crest Trial No:. Date form completed: Hospital No:. ./ /. . 1 2 3 4 COMPLICATIONS

How to fill out colorectal stent_follow-up_form - university

How to fill out colorectal stent_follow-up_form - university:

1. Start by providing your personal details, including your full name, date of birth, and contact information.
2. Indicate the date of your initial colorectal stent placement procedure.
3. Specify the type of stent that was used in your case (e.g., self-expanding metal stent or biodegradable stent).
4. Describe any complications or adverse reactions you experienced after the stent placement procedure, if applicable.
5. Provide details on any follow-up appointments you have attended since the procedure, including the dates and purpose of each visit.
6. Indicate any additional procedures or interventions you have undergone related to the colorectal stent, such as stent removal or stent repositioning.
7. Fill out the section that asks about your current symptoms, including any pain, changes in bowel movements, or other issues you are experiencing.
8. Note any medications you are currently taking and any changes in your medication regimen since the stent placement.
9. If you have any concerns or questions, feel free to write them down in the designated space.
10. Finally, sign and date the form to confirm that all the information provided is accurate to the best of your knowledge.

Who needs colorectal stent_follow-up_form - university?

1. Patients who have undergone colorectal stent placement procedures at the university's medical center.
2. Individuals who require follow-up care, monitoring, or evaluation after their colorectal stent placement to ensure optimal results.
3. Medical professionals involved in the management and follow-up of patients who have received colorectal stents at the university's medical facility.

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