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ASK THE AMERIGEL® NURSE
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Name:
Email Address :
Where is the wound located?
  Length:
What is the size of the wound? Width:
  Depth :
How long have you had this wound?
What caused this wound to begin with?
Is there any drainage from the wound? Yes No
If yes, describe the drainage and amount.
What color is the wound?
Describe the skin surrounding the wound:
Is there any noticeable odor? Yes No
Do you think the wound is infected? Yes No
Is there a scab covering the wound? Yes No
Are you currently being seen by a physician, nurse,
therapist or wound care center?
Yes No
If yes, please provide the name and phone number.
What treatments or procedures have been
done to the wound in the past?
How are you caring for the wound now?
What questions do you have?


 

Testimonials...   click here for more
I am an 81-year old bedridden patient that requires total skilled care at home. I have a stage IV pressure ulcer on my ankle and heel. My doctor wanted to amputate my leg below the knee. Because of my age, my family decided against surgery. I read testimonies in the newspaper about AmeriGel Wound Dressing and tried it on my wounds and it healed them in 1999. Currently, I am using it for new wounds that are now healing. The Nursing service is impressed and recommends it to patients.
Mozella Green Gary, IN

 

Visit our sister company Sirius Medical Supply
Sirius Medical Supply Co. was formed to meet the
ever changing needs of the Diabetic community.