Formulaire KOOS
KOOS is the Knee injury and Osteoarthritis Outcome Score. It’s an international score used for the clinical evaluation of various knee pathologies.
You have seen Dr. Prost in consultation and he planned for you a program of intra-articular PRP injection of your knee: you must fill this questionnaire and submit it (by clicking on the box “send”) before being able to benefit your treatment for the osteoarthritis of your knee by PRP at the IMMR (Mediterranean Institute of Regenerative Medicine).
You will have to complete the same questionnaire in the 3rd month and the 6th month after your injection.
Thank you for taking the utmost care.
You must answer all the questions before you can send it.
Informations personnelles
Last name *
First name *
Email *
Date *
Injured knee *
Date of birth *
Phone *
Size (en cm) *
Weight (en kg) *
BMI
Please fill out all mandatory fields.
Owing to a technical problem that arose while weather data were being sent. If the problem persists, please send an email to our support.
Un problème est survenu lors de l'envoi du mail. Si le problème persiste veuillez nous contacter.
The form has been successfully sent.