/depts/,/depts/uwmf/,/depts/uwmf/patient-resources/,/depts/uwmf/patient-resources/social-guide/,/depts/uwmf/patient-resources/social-guide/manual/,/depts/uwmf/patient-resources/social-guide/manual/population-specific/,/depts/uwmf/patient-resources/social-guide/manual/population-specific/transplant/,/depts/uwmf/patient-resources/social-guide/manual/population-specific/transplant/heart-transplant/,/depts/uwmf/patient-resources/social-guide/manual/population-specific/transplant/heart-transplant/pre-heart-transplant-follow-up/,/depts/uwmf/patient-resources/social-guide/manual/population-specific/transplant/heart-transplant/pre-heart-transplant-follow-up/concern-follow-up-smarttext/,

/depts/uwmf/patient-resources/social-guide/manual/population-specific/transplant/heart-transplant/pre-heart-transplant-follow-up/concern-follow-up-smarttext/

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UWHC,

Patient Services,

Patient Resources,Social Work Services Quick Guide,Social Work Manual,Population Specific,Transplant,Heart Transplant,Pre-Heart Transplant Follow-up

Concern Follow-up SmartText

Concern Follow-up SmartText - Patient Resources, Social Work Services Quick Guide, Social Work Manual, Population Specific, Transplant, Heart Transplant, Pre-Heart Transplant Follow-up

Focus

Social Work Pre-Heart Transplant/VAD Psychosocial Evaluation Concern Follow-up

Evaluation completed:

Concerns identified:

Current status of concerns:

Revised Recommendation: Patient may be considered a transplant/VAD candidate from a psychosocial perspective.

REVISED SUMMARY:

Support:

Employment:

Nicotine Hx:

Yrs in School:

Insurance:

ETOH Hx:

Cultural:

Emotional:

Illicit Drug Hx:

Spiritual:

Compliance:

Other Concerns:

Recommendations: