Post-Procedure Follow-up (RF, LP, Blood Patch)

Published on MHNI Migraine Headache and Head Pain Treatment (https://www.mhni.com)

Post-Procedure Follow-up (RF, LP, Blood Patch)

This contact form is intended for patients who have recently received Radiofrequency, a Lumbar Puncture, or a Blood Patch.

Please use the following form to update MHNI on your condition 5 days after your procedure. If you would prefer, you can also contact the MHNI Phone Nurse at (800) 518-3639. Thank you.

Please inform MHNI of any medical complications after your procedure. Otherwise, you may plan to return to work within 1 to 2 days.

Patient Information

Patient Name: *

Date of Birth: *

Month

Day

Year

E-mail: *

Phone #: *

Procedure

Procedure Type: *

Radiofrequency

Lumbar Puncture

Blood Patch

Other...

Procedure Type: Other...

Procedure Date: *

Month

Day

Year

Do you have a discharge instruction sheet? *

Yes

Pain Level

Since the procedure, your pain level is: *

Same

Better

Worse

Did the procedure reduce your pain?: *

Yes

If "yes", for how long?:

Percentage of improvement since procedure: *

Problems

Is it your typical headache?

Yes

If "no", please describe new headache signs and symptoms:

Please discuss other problems experienced:

Source URL: https://www.mhni.com/resources/mhni-phone-nurse/post-procedure-contact-forms/post-procedure-follow-rf-lp-blood-patch