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MEDICAL WEIGHT TREATMENT PROGRAM HEALTH QUESTIONNAIRE (SF36) Please complete and return to the McConnell Heart Health Center. Name: Date of Birth : Today's Date: How did you hear about us? OFF MHC
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How to fill out a medical weight treatment program:

01
Schedule an appointment with a healthcare professional specialized in medical weight treatment.
02
Share your medical history, including any underlying conditions or medications you are currently taking.
03
Discuss your weight goals and any concerns or challenges you have faced in the past when trying to lose weight.
04
Work with the healthcare professional to develop a personalized treatment plan that includes dietary changes, exercise recommendations, and possibly medication or surgical options.
05
Follow the instructions provided by the healthcare professional closely and diligently track your progress.
06
Attend regular follow-up appointments to monitor your progress, make any necessary adjustments to your treatment plan, and receive guidance and support from the healthcare professional.

Who needs a medical weight treatment program:

01
Individuals who have been diagnosed with obesity or overweight by a healthcare professional.
02
Individuals who have struggled to lose weight on their own and have not achieved successful long-term results.
03
Individuals who have underlying medical conditions that are impacted by their weight, such as diabetes, high blood pressure, or heart disease.
04
Individuals who have a family history of obesity or overweight and want to proactively manage their weight to prevent potential health issues.
05
Individuals who have tried various diets or weight loss programs without success and are seeking evidence-based medical approaches for weight management.
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Individuals who want professional guidance and support throughout their weight loss journey, including setting realistic goals and addressing any psychological factors that may influence their eating habits.
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Medical weight treatment program is a structured plan designed to help individuals achieve a healthy weight through medical supervision, diet, exercise, and other interventions.
Individuals who are enrolled in a medical weight treatment program are required to file the program with their healthcare provider or insurance company.
To fill out a medical weight treatment program, individuals must provide accurate information about their health history, current medications, dietary habits, and weight loss goals.
The purpose of a medical weight treatment program is to help individuals achieve and maintain a healthy weight, improve their overall health, and reduce the risk of obesity-related complications.
Information such as weight loss goals, dietary habits, current medications, medical history, and any previous weight loss attempts must be reported on a medical weight treatment program.
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