Chait Trapdoor Patient Information Sheet

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Chait Trapdoor™ Patient Information Sheet

Patient’s Name:	________________________
Catheter Lot #:	________________________
Date of Insertion:	________________________
Nurse’s Name:	________________________
Telephone #:	________________________
Physician’s Name:	________________________
Telephone #:	________________________

NOTE: Ask your nurse and physician to help you fill in the blanks
on this page. Put this patient guide in a safe, handy place
for future reference. Make sure your caregivers know where it is.

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