Get the free Bariatric History & Physical Form Past & Current Medical Diagnosis ...

Bariatric History & Physical Form To be completed by the patient Today's Date: Name: DOB: First Middle Last Primary Care Physician (PCP): Office Phone #: Current Height: Current Weight: BMI: Other

How to fill out bariatric history amp physical

How to fill out bariatric history amp physical

1. Start by gathering all relevant medical records and test results.
2. Obtain a comprehensive patient history, including any past surgeries and medical conditions.
3. Perform a physical examination, including measurement of vital signs and body mass index (BMI).
4. Document any pre-existing comorbidities and their severity.
5. Assess the patient's psychological readiness and eligibility for bariatric surgery.
6. Collect information on the patient's current medications and allergies.
7. Complete a thorough review of systems to identify any potential risks or contraindications.
8. Record baseline laboratory values, such as complete blood count and metabolic panel.
9. Document dietary habits and nutritional assessment.
10. Outline a detailed plan for preoperative optimization and postoperative care.
11. Discuss risks, benefits, and expectations of the procedure with the patient.
12. Ensure the patient provides informed consent for the surgery.

Who needs bariatric history amp physical?

1. Individuals who are seeking bariatric surgery or weight loss intervention.
2. Patients with a BMI of 40 or above, or a BMI of 35 or above with significant comorbidities.
3. Those who have attempted other weight loss methods without success.
4. Individuals with obesity-related health issues, such as diabetes, hypertension, or sleep apnea.
5. Candidates who have been evaluated by a multidisciplinary team and deemed suitable for surgery.

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What is bariatric history amp physical?

Bariatric history and physical is a detailed medical examination and background information related to a patient's weight loss surgery.

Who is required to file bariatric history amp physical?

Patients who are undergoing bariatric surgery are required to file bariatric history and physical.

How to fill out bariatric history amp physical?

Bariatric history and physical forms can be filled out by the patient and their healthcare provider, detailing medical history, current medications, and surgical procedures.

What is the purpose of bariatric history amp physical?

The purpose of bariatric history and physical is to assess the patient's overall health, identify any potential risks, and determine the most suitable weight loss surgery option.

What information must be reported on bariatric history amp physical?

Information such as medical history, current medications, allergies, previous surgeries, and any chronic conditions must be reported on bariatric history and physical form.