* Full Name: Required field
* Date of Birth: Required field
* Date of Surgery: Required field
* Surgeon Name: Required field
If you have any questions or concerns, would you like the Nurse Navigator to contact you prior to surgery? If so, please provide a phone number or email address.
What is one step that you could take to get your body 'surgery ready'?
When do you use the chlorhexidine (CHG) to prepare your skin?
When should you expect to get out of bed after surgery?
What is an important exercise to prevent blood clots?
What movement restrictions do you have following a hip replacement?
When should you begin your Home Exercise program?