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Signature of Patient or Representative if Minor Date New Patient Form Updated 6/2/2017 Bariatric Surgical Weight Loss Have you had a previous weight loss surgery If you answered Yes to previous surgery. I also authorize Mercy NWA Communities or Insurance companies to release any information required to process my claims. How did you hear about us Current Height Current Weight How many years have you been overweight What has been your highest weight Have you ever seen a doctor for weight loss...
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How to fill out mercy bariatric services
How to fill out mercy bariatric services
01
Start by gathering all necessary documents and information, such as your medical history, insurance details, and identification.
02
Contact Mercy Bariatric Services to schedule an initial consultation and evaluation.
03
Attend the initial consultation to meet with the bariatric team and discuss your weight loss goals and potential treatment options.
04
Follow the instructions given by the bariatric team regarding pre-operative requirements, such as dietary changes and exercise routines.
05
Complete any required medical tests and evaluations to determine your eligibility for bariatric surgery.
06
If approved for surgery, schedule the procedure and make necessary preparations, such as arranging for time off work and organizing support for after the surgery.
07
Adhere to all pre-operative instructions provided by the bariatric team, such as fasting before surgery and avoiding certain medications.
08
On the day of the surgery, arrive at the designated hospital or surgical center on time and follow all pre-operative procedures.
09
After the surgery, strictly follow the post-operative care instructions provided by the bariatric team, including dietary guidelines and exercise recommendations.
10
Attend follow-up appointments with the bariatric team to monitor your progress and make any necessary adjustments to your treatment plan.
Who needs mercy bariatric services?
01
Individuals who have been diagnosed with severe obesity, typically defined as having a body mass index (BMI) of 40 or higher.
02
People who have tried other weight loss methods without success and are experiencing health problems related to their weight, such as diabetes, high blood pressure, or sleep apnea.
03
Those who have a BMI of 35 or higher with significant obesity-related health issues may also be candidates for bariatric services.
04
Candidates for mercy bariatric services should be committed to making long-term lifestyle changes and understand the potential risks and benefits of bariatric surgery.
05
It is important to consult with a bariatric specialist to determine if someone is a suitable candidate for mercy bariatric services.
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What is mercy bariatric services?
Mercy bariatric services is a specialized medical program that focuses on weight loss surgery and related treatments.
Who is required to file mercy bariatric services?
Patients who undergo weight loss surgery or receive bariatric treatment at Mercy medical facilities are required to file mercy bariatric services.
How to fill out mercy bariatric services?
Mercy bariatric services can be filled out by completing the necessary forms provided by the hospital or medical staff, and submitting them with the required information.
What is the purpose of mercy bariatric services?
The purpose of mercy bariatric services is to track and report the progress and outcomes of weight loss surgery and bariatric treatments for patients.
What information must be reported on mercy bariatric services?
Information such as patient demographics, procedure details, post-operative care, and outcomes must be reported on mercy bariatric services.
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