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Phil s Ultimate Weight Loss Take Off Pounds Sensibly TOPS Eat More Weigh Less Dr. Ornish Weight Watchers eDiets. Sign Date // Ver. 2. 5 12/13/16 Please use Black ink only Please initial each page 2 of 16 Mark Colquitt MD FACS Jonathan Ray MD FACS Center for Advanced Medicine Building 1819 West Clinch Ave Suite 200 Knoxville TN 37916 865-984-3413 office 865-212-5597 fax www. I have researched bariatric surgery and talked with people who have had weight loss surgery. I will be involved with my...
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How to fill out new bariatric patient packet
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01
Open the new bariatric patient packet.
02
Read and understand all the instructions and forms in the packet.
03
Complete the personal information section, including name, address, contact details, and emergency contact information.
04
Provide accurate medical history, including previous surgeries, any underlying health conditions, and current medications.
05
Fill out the insurance information section, including policy number, primary care physician, and any pre-authorization requirements.
06
Complete the dietary questionnaire, providing details about your eating habits, allergies, and any specific dietary restrictions.
07
Submit any required medical records or test results along with the packet.
08
Review the consent forms thoroughly and ensure you understand the risks and benefits associated with bariatric surgery.
09
Sign and date all the necessary documents where required.
10
Return the completed packet to the designated healthcare provider or bariatric clinic.
Who needs new bariatric patient packet?
01
Individuals who are interested in undergoing bariatric surgery.
02
Patients who have been recommended or referred for bariatric surgery by their healthcare provider.
03
Individuals with obesity-related health conditions such as diabetes, high blood pressure, or obstructive sleep apnea.
04
People who have tried other weight loss methods without significant success.
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What is new bariatric patient packet?
The new bariatric patient packet is a set of forms and information provided to patients undergoing bariatric surgery.
Who is required to file new bariatric patient packet?
Patients undergoing bariatric surgery are required to fill out and submit the new bariatric patient packet.
How to fill out new bariatric patient packet?
Patients can fill out the new bariatric patient packet by completing all the required forms and providing accurate information about their medical history.
What is the purpose of new bariatric patient packet?
The purpose of the new bariatric patient packet is to gather important information about the patient's medical history, current health status, and readiness for bariatric surgery.
What information must be reported on new bariatric patient packet?
The new bariatric patient packet may include information such as medical history, current medications, allergies, and contact information for emergency purposes.
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