Orthopaedics: The Charles J August Joint Replacement Center

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Joint Replacement Pre-Surgical Forms


The forms listed below are for you to print out, fill in and bring with you to Surgical Pre-Testing appointment. Having these forms filled out prior to your appointment assists our team in their assessment of your needs for your joint replacement surgery.

Joint Replacement Pre-Surgical Assessment Form:
Bring this pre-surgical assessment form with you to your pre-surgical testing appointment. This form allows our team to better assess your needs for your joint replacement surgery and your possible stay in our joint replacement center.

Joint Replacement Surgical Pre-testing Patient Questionnaire:
Bring this surgical pre-testing patient questionnaire form out and bring with you to your surgical pre-testing appointment. This form assist our team in assessing how to best provide for your needs before, during and after your joint replacement surgery.
Our team earned The Joint commission's Gold Seal of Approval.
The Charles J August Joint Replacement Center
1555 Long Pond Road   |   Rochester, NY 14626
(585) 368-4545