Shoulder-Guidebook-V1

This Guidebook Belongs To:

Date of Birth:

Phone:

Pharmacy Name and Phone:

This guidebook is designed to provide information and education about all phases of care for your spine surgery so that you will know what to expect every step of the way. Please bring this guidebook with you for all pre-surgical appointments, your hospital stay, and post-surgical appointments. Important dates and times to remember: (Please insert in book)

Surgery: _________ at _________ AM or PM

Pre-Admission Testing/Evaluation: _________ at _________ AM or PM

Follow up Appointment with Surgeon: _________ at _________ AM or PM

Notes:

Please list all medications you are currently taking including prescription medications, over the counter medications and herbal or dietary supplements:

Medication Name

Dose

Directions

Type