Sara Johns
 
 
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 DOS: 2021/29/07 
 Sara Johns 
 Sex: M 
 POST-OPERATIVE FOLLOW-UP EVALUATION 
 DOB: 1987/10/08 
 Age: 87 
 Phys: Jacobson Robert 
 PATIENT NAME: 
 PHONE NUMBER: 
 PROCEDURE DATE: 2016/13/02 
 PHYSICIAN: 
 CONTACT: 
 SEQUENCE OF ATTEMPTS 
 DATE 
 TIME 
 YES/NO 
 RN INITIALS 
 FIRST ATTEMPT 
 2014/06/09 
 1209 
 Y 
 06 
 SECOND ATTEMPT 
 NOTES: 
 PROCEDURE: 
 her Interbody Fusion 
 ANESTHETIC 
 &GENERAL 
 COMMENTS 
 Dressing/Clean/Dre 
 Paln 
 Numbness/Tingling 
 you 
 surgical site 
 Nausea/Vomiting 
 Dr. Appointment 
 Compllant 
 Additional Instructions (or) Questions 
 Significant negative outcomes or concerns: 
 YES 
 NO 
 (If yes, report name to clinical Administrator) 
 Date reported to CA: 
 Time: 
 RN 
 Signature; 
 Date: 2023/09/08 
 THE GABLES SURGICAL CENTER 
 401 SW Lejune Rd Suite 201 MIAMI, FL 331341938 305-447-0882
