Cardiac Bypass Surgery Follow-Up Check-In
Date of Visit
Patient Name
Date of Surgery
Current Medications
Vital Signs
Symptoms Since Last Visit
Physical Exam Findings
Incision Site Status
Healing Well
Redness/Swelling
Discharge
Pain
Other
Cardiac Status
Stable
Arrhythmia
Edema
Palpitations
Other
Other Notes/Concerns
Follow-Up Instructions
Next Appointment Date