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GREGORY S. BARNES, MD General & Bariatric Surgery Telephone 214-506-2660 or 817-506-4360 or 855-227-6371 (Toll Free) Fax 972-865-6996 or 817-984-9189 PATIENT REGISTRATION PLEASE FILL OUT ALL SECTIONS
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How to Fill out Barnes Bariatric Surgical Solutions:

01
Start by gathering all the necessary personal information such as your name, date of birth, and contact details.
02
Provide your medical history, including any pre-existing conditions, previous surgeries, or allergies that may be relevant to your bariatric surgical procedure.
03
Enter your current weight and height to help the medical professionals determine your body mass index (BMI), which is an important factor in deciding whether you are eligible for bariatric surgery.
04
Describe your weight loss journey so far, including any diets, exercise routines, or weight loss programs you have attempted in the past.
05
Indicate the specific reasons why you are considering Barnes Bariatric Surgical Solutions, whether it is for health reasons, improved quality of life, or to address obesity-related issues.
06
Discuss any concerns or questions you may have about the surgery, recovery process, or potential risks and complications.
07
Provide information about your current lifestyle habits, such as your dietary patterns, physical activity levels, and whether you smoke or consume alcohol.
08
Mention any support systems or resources you have in place to assist you before, during, and after the surgery, such as family members, support groups, or mental health professionals.
09
Finally, sign and date the form to acknowledge that the information provided is accurate and complete.

Who Needs Barnes Bariatric Surgical Solutions:

01
Individuals who have unsuccessfully tried other weight loss methods such as dieting and exercise and are significantly obese.
02
People suffering from obesity-related health conditions such as type 2 diabetes, high blood pressure, sleep apnea, or joint problems.
03
Individuals who are committed to making permanent lifestyle changes to support their weight loss and overall health improvement.
04
Patients who have been determined to have a BMI above a certain threshold (varies depending on the surgical procedure) as an indication for bariatric surgery.
05
Those who have a clear understanding of the risks and benefits associated with bariatric surgery and have realistic expectations of the outcomes it can achieve.
06
People who have received a recommendation for Barnes Bariatric Surgical Solutions from their healthcare provider or have done research and feel it is the right choice for them.
07
Individuals who are mentally and emotionally prepared to undergo a life-altering surgical procedure and are committed to making the necessary changes to maintain long-term weight loss success.
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Barnes Bariatric Surgical Solutions is a medical facility specializing in offering surgical solutions for bariatric patients.
Patients who undergo bariatric surgery at Barnes Bariatric Surgical Solutions are required to file their medical records and follow-up information.
Patients can fill out Barnes Bariatric Surgical Solutions forms either electronically or by hand, providing detailed information about their medical history, current health status, and surgical procedure.
The purpose of Barnes Bariatric Surgical Solutions is to provide comprehensive care for bariatric patients before, during, and after their surgical procedures.
Information such as medical history, lab results, medications, surgical procedures, and post-operative care must be reported on Barnes Bariatric Surgical Solutions forms.
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