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Patient Info

Patient Forms

Initial Clinic Evaluation FormInitial Clinic Evaluation Form

This form is ideally to be completed before your first consultation and to be brought along with your referral letter. This will speed up the first section of your time with Mr Achan and thus provide more time during the consultation for specific discussion about your condition, its treatment and the clinical examination.

Specific forms for known conditions. If you know whether your pain is arising from the hip or knee, it may help with reaching a diagnosis if you could fill out the specific hip or knee questionnaires below

The Hip Pain Evaluation FormThe Hip Pain Evaluation Form


The Outpatient Sports Knee FormThe Outpatient Sports Knee Form (for Sports Injuries only)

Daily Pain Log

If you undergo a diagnostic injection then this log is crucial to your doctor's understanding of the source of your pain and the likely benefits of surgical intervention to the affected joint. Please print this out and keep an accurate record of the level of pain symptoms you experience after the injection. Having recorded this information please remember to bring this along to your follow up consultation with Mr Achan.

The Outpatient Sports Knee FormDaily Pain Log Form

Outcome Scores Following Surgery

Hip And Knee Outcomes QuestionnairesHip And Knee Outcomes Questionnaires

Oxford Hip Score Oxford Hip Score

Oxford Knee ScoreOxford Knee Score

HOOS scoreHOOS Score

KOOS ScoreKOOS Score

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