OrthoConnecticut

We have provided print-friendly patient forms and informational material for your convienience. Bring completed forms to your first visit to ensure we get you in and out as quickly as possible. If you have any questions, please contact the office you are visiting.

We have provided print-friendly patient forms and informational material for your convienience. Bring completed forms to your first visit to ensure we get you in and out as quickly as possible. If you have any questions, please contact the office you are visiting.

Ross Henshaw, M.D.

The following questionnaires are used to aid in the evaluation process.  If possible, please fill out the appropriate forms before arriving at our office.

 

All Orthopaedic Evaluation Patients

 Medical History Form

 Interim Medical History Form (Established Patient - New Problem)

 Subjective Functional Outcomes Assessment (Form 36 Survey)

 

General Patient Education

pdfCast Care Instructions

pdfInterval Throwing Program

 

Ankle Patients

pdfPRE-OP Ankle Surgery Instructions

pdfPOST-OP Achilles Tendon Repair Instructions (page 1)

pdfPOST-OP Achilles Tendon Repair Instructions (page 2)

pdfPOST-OP Ankle Arthroscopy Instructions

pdfPOST-OP Ankle Fracture Instructions

 

Elbow Patients

 The DASH (Disabilities of the Arm, Shoulder, and Hand)

pdfPRE-OP Elbow Surgery Instructions

pdfPOST-OP Biceps Tendon Repair Instructions

pdfPOST-OP Elbow Surgery General

pdfPOST-OP Elbow Extensor-Flexor Tendon Repair Instructions

pdfPOST-OP Elbow MCL Reconstruction Instructions

pdfPOST-OP Triceps Tendon Repair Instructions

 

Hip Patients

pdfPRE-OP Hip Arthroscopy Instructions

pdfPOST-OP Hip Arthroscopy Instructions

 

Knee Patients

 Dr. Henshaw's Knee Questionnaire

pdfPRE-OP Knee Surgery Instructions

pdfPOST-OP High Tibial Osteotomy Instructions

pdfPOST-OP Knee Arthroscopy ACL Reconstruction Instructions

pdfPOST-OP Knee Arthroscopy General Instructions

pdfPOST-OP Knee Arthroscopy Lateral Release Instructions

pdfPOST-OP Knee Arthroscopy Meniscal Repair Instructions

pdfPOST-OP Knee Arthroscopy Microfracture Abrasion Instructions

pdfPOST-OP Osteochondral Autograft Transplantation Instructions

pdfPOST-OP Patellar Fracture Repair Instructions

pdfPOST-OP PCL Reconstruction Instructions

pdfPOST-OP Quadriceps Tendon Repair Instructions

 

Shoulder Patients

 L'Insalata Shoulder Questionnaire

 Dr. Henshaw's Shoulder Questionnaire

pdfPRE-OP Total Shoulder Replacement Instructions

pdfPOST-OP Acromioplasty-AC Joint Instructions

pdfPOST-OP Capsular Release-Manipulation Instructions

pdfPOST-OP Open Shoulder Stabilization Instructions

pdfPOST-OP Rotator Cuff Repair Instructions

pdfPOST-OP Shoulder Surgery Exercises

pdfPOST-OP Stabilization-Labrum Repair Instructions

Other Surgical Patients

pdfPOST-OP Compartment Release Instructions