The patient has been previously managed by MSK or podiatry services and that all footwear options have been exhausted.
Date of previous assessment:
Brief summary of previous interventions:
Has significant functional impairment related to the hallux valgus.
Please provide details of impairment:
That the patient is fully informed and is aware of the pros and cons of surgery ☐
Please note it is the clinician’s responsibility to obtain patient consent to share this and all supporting materials with the Commissioning Support Unit. All information will be used and stored in accordance with the Data Protection Act. Yours sincerely