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Injured Joint
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Surgery
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In-Office Procedures
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Post Op Plan
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Pre-Op Plan
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Surgery
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Side of Surgery
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Procedure
• • •
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Other Procedure
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Risks & Benefits
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R&B: Meniscal Allograft Replacement
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R&B: MCL Reconstruction
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R&B: Meniscus Reconstruction w/ CMI
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R&B: Meniscus Repair
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R&B: Meniscectomy
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R&B: ACL Repair
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R&B: ACL Reconstruction
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R&B: Posterolateral Corner Reconstruction
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R&B: Articular Cartilage Paste Grafting
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R&B: PKR
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R&B: TKR
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R&B: PCL Reconstruction
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R&B: Medial PF Ligament Reconstruction
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R&B: Meniscectomy vs Meniscus Repair
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Other R&B
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Non-Operative Care
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Physical Therapy
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In-Office Procedure
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Procedure
• • •
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Side of Procedure
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Area of Procedure
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Other Procedure
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Templates
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Aspiration
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Comments
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Cortisone
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Visco/Stem Cell
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Marcaine Lot #/Exp
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Supartz Lot #
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Supartz Expiration
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Celestone Lot #/Exp
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Palin Lot #
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Palin Expiration Date
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Stem Cell Only
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Visco Only
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Palin Lot #/Exp
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Supartz Lot #/Exp
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Visco/PRP
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PRP
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Supartz Lot #/Exp
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PRP Lot #/Exp
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PRP Lot #/Exp
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Free Text Plan/Recommendation
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Post Operative
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Standard Post Op Plan
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Post Op Plan Free Text
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Pre-Op
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What surgery?
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Knee
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Shoulder
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Ankle
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