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Healthy Weights Program: Shakedown BC PHYSICIAN REFERRAL FORM Please print clearly DATE Child's Name: Male or Female (Last name) (First name) Child's Age: DOB: (ddmmyyyy): PhD #: Parent/Guardians
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How to Fill Out Healthy Weights Program ShapeDown:

01
Start by downloading the ShapeDown program from a reliable source or obtain the necessary forms from a healthcare provider.
02
Carefully read through the instructions and guidelines provided in the ShapeDown program. Familiarize yourself with the concept of healthy weight management and the objectives of the program.
03
Begin by entering your personal information accurately. This may include your name, age, height, weight, and any relevant medical history.
04
Assess your current eating habits and physical activity level. Be honest while filling out the forms to ensure accurate results and effective guidance.
05
Take note of the dietary recommendations provided in the ShapeDown program. These may include suggested portions, food groups to focus on, and those to limit or avoid.
06
Create a weekly meal plan based on the recommendations given. Incorporate a variety of nutritious foods that meet your calorie and nutrient needs.
07
Evaluate your physical activity level and set realistic goals. Whether you are a beginner or more advanced, the ShapeDown program may suggest activities such as walking, jogging, or participating in group exercise classes.
08
Track your progress by regularly weighing yourself and recording the results. It is essential to monitor your weight changes throughout the program and make any necessary adjustments.
09
Utilize any provided tools or resources offered by the ShapeDown program, such as food and activity journals, to keep track of your daily habits.

Who Needs Healthy Weights Program ShapeDown:

01
Individuals who are overweight or obese and want to achieve a healthier weight.
02
People who have been advised by their healthcare providers to address their weight for medical reasons.
03
Those who want to adopt a healthier lifestyle, improve their overall well-being, and reduce their risk of chronic diseases.
Remember, it is always wise to consult with your healthcare provider before starting any weight management program to ensure it aligns with your specific needs and goals.
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{answer: 'Healthy Weights Program ShapeDown is a program designed to help individuals manage their weight in a healthy way through nutrition, exercise, and lifestyle changes.'}
{answer: 'Individuals who are participating in the Healthy Weights Program ShapeDown are required to file the program form.'}
{answer: 'To fill out the Healthy Weights Program ShapeDown form, individuals need to provide information about their current weight, goals, dietary habits, exercise routine, and other relevant details.'}
{answer: 'The purpose of the Healthy Weights Program ShapeDown is to help individuals achieve and maintain a healthy weight through education, support, and personalized strategies.'}
{answer: 'Information such as weight, height, body mass index (BMI), dietary intake, physical activity levels, and progress towards weight goals must be reported on the Healthy Weights Program ShapeDown form.'}
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