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Diet History NAME: AGE: SSN: TODAY IS DATE: YOUR CURRENT WEIGHT? POUNDS. YOUR CURRENT HEIGHT? FEET INCHES. HOW MUCH DO YOU THINK YOU SHOULD WEIGH? PRIMARY CARE DOCTOR: Please list all diet attempts
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How to fill out diet history - trihealth:

01
Start by gathering information about your eating habits. This includes what types of foods you typically eat, how often you eat, and your portion sizes.
02
Record any dietary restrictions or allergies you may have. This is important for providing accurate information to your healthcare provider.
03
Take note of any medications or supplements you are currently taking that may affect your diet or nutrition.
04
Include information about your medical history, such as any chronic conditions or diseases that may impact your dietary needs.
05
It is also helpful to document any recent changes in weight or appetite.
06
Be honest and thorough when filling out the diet history questionnaire. This will provide a comprehensive picture of your eating habits and allow your healthcare provider to make appropriate recommendations.

Who needs diet history - trihealth:

01
Individuals who are seeking medical advice or treatment related to their diet and nutrition.
02
Patients with certain medical conditions or diseases that require specialized dietary guidelines.
03
People who have experienced recent changes in weight or appetite and want to address any potential underlying issues.
04
Individuals looking to improve their overall health and wellness through diet and lifestyle changes.
05
Anyone who wants to ensure they are consuming a balanced and nutritionally adequate diet.
It is important to consult with a healthcare provider or registered dietitian for personalized guidance and advice when filling out the diet history questionnaire. This will ensure that your specific needs and goals are taken into account.
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Diet history - trihealth is a record of an individual's dietary habits, preferences, and intake of food and beverages.
All patients or clients participating in services provided by trihealth are required to file diet history.
Diet history - trihealth can be filled out by providing details about one's daily eating habits, food preferences, allergies, and any dietary restrictions.
The purpose of diet history - trihealth is to help healthcare professionals assess an individual's nutritional status, identify any potential dietary issues, and develop personalized nutrition plans.
Information such as current dietary intake, food allergies, dietary preferences, use of supplements, and any special dietary needs must be reported on diet history - trihealth.
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