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07117521706000v3.indd 1 ACCESS SYSTEMS Patients Name Doctor/Doctors Phone Implant Site/Implant Date 5/18/06 7:53:39 AM Notes Palpation of three points on top and the triangular shape of the port help.

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How to fill out the Download Patient Identification Card - PowerPortAdvantage online

The Download Patient Identification Card - PowerPortAdvantage is a crucial document for users requiring information about their PowerPort implant. Filling out this form accurately ensures clear communication between healthcare providers and users regarding important medical information.

Follow the steps to complete the form efficiently.

  1. Press the ‘Get Form’ button to retrieve the form and open it for editing.
  2. Begin filling out the patient's name in the designated field, ensuring it is spelled correctly. This identifies the individual for whom the card is being completed.
  3. Next, input the doctor's name and their contact number. This information is essential for any follow-up communication needed regarding the patient's care.
  4. Record the implant site and the date of the implant. Accurate information here helps in tracking the device for medical purposes.
  5. In the notes section, provide any relevant notes regarding the patient's condition or specifics about the PowerPort, such as palpation points or additional instructions.
  6. If applicable, attach the product identification sticker from the unit label in the provided area.
  7. Once all fields are filled out, review the information for accuracy. Make any necessary corrections.
  8. After that, choose to save your changes, download the completed document, print it out, or share it as needed.

Complete your documents online today for efficient management of your health information.

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If you need a new card, please reach out to your doctor. You can download and print a copy, or have your doctor send you a new one. Your doctor will need to provide device information for your new stent implant card.

The Patient Identification Card Along with information about you, the ID card includes the make and model of your implant and leads, the date and hospital where your system was implanted, and your programmed settings.

Your hospital will submit a device registration form to us and give you a temporary ID card. We will then mail you a permanent card within 30 to 90 days.

It alerts medical and security personal that you've had a heart procedure. You will be given an implant card at the time of your procedure. Your implant card contains your name, your doctor's name and phone number, and information about your implanted stent(s).

Every patient getting an implantable medical device or an active implant needs a patient implant card and information leaflet. These materials help patients have informed conversations with their healthcare practitioner and understand their implantable medical device.

Replacement stent implant cards If you need a new card, please reach out to your doctor. You can download and print a copy, or have your doctor send you a new one. Your doctor will need to provide device information for your new stent implant card.

Your physician will give you a patient identification card before you are discharged from the hospital, which will identify you as a pacemaker, ICD or CRT patient.

In order to update the patient record, please call Patient Registration Services at 800-551-5544. It is important for us to capture all the necessary information for the device replacement/removal in order to update your record and our mailing list.

The Bard PowerPort implantable catheter device allows delivery of medications intravenously. Possible complications include embolisms, infections and blood clots. Lawsuits allege these devices may migrate or fracture, causing serious and potentially fatal injuries, and demand compensation for damages.

We recommend that all Medtronic patients with an implanted device carry an ID card in order to identify your device information in case of emergency. The ID card includes a toll-free number to contact Medtronic, and helps maintain current and accurate information for your record.

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