|
Lap Band Adjustment
|
|
|
Lap Band Adjusted
|
Fluid in Band - Current
|
|
Fluid Removed
|
New Total Fluid in Lap Band
|
|
Close to sweet spot?
|
Slipped?
|
|
Did they feel restriction from last fill?
|
Radiographic studies
• • •
|
|
Notes
|
|
|
PELLET INSERTION
|
|
|
Male Pellet Insertion
|
Date of last insertions
|
|
Insertion Procedure
• • •
|
Post procedure instructions given
|
|
Female Pellet Insertion
|
Date of last insertions
|
|
Insertion Procedure
• • •
|
Post procedure instructions given
|
|
Stem Cells
|
Stem Cell Injection
|
|
Stem Cell Infusion
|
|
|
Platelet Rich Plasma
|
PRP injection
|
|
PRP Aesthetic
|
|
|
Other Office Surgery
|
Surgical Procedure
|
