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Bariatric Registration Paperwork Patient Information First Name: M.I.: Birth Date: / / Sex:Height: Email Address: Weight: Last Name: Social Security Number: Street Address: City: State: Zip Code:

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Open the bariatric-worksheetdocx file on your computer.

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Read through the instructions and the questions carefully.

03

Begin filling out the worksheet by entering your personal information such as name, date of birth, and contact details in the designated fields.

04

Move on to the next section and provide information related to your medical history, including any previous surgeries, medications, or existing health conditions.

05

Answer the questions regarding your current eating habits, exercise routines, and lifestyle choices that might impact your weight.

06

Fill in the blanks for your initial body measurements, such as weight, height, BMI, and waist circumference.

07

Follow the prompts to provide details about any specific goals or targets you have regarding weight loss or health improvement.

08

Double-check all the entered information for accuracy and completeness.

09

Save the completed worksheet on your computer for future reference or printing.

Who needs bariatric-worksheetdocx?

01

Anyone who is considering or undergoing bariatric surgery may need the bariatric-worksheetdocx. This document is designed to gather important medical and lifestyle information to help healthcare professionals evaluate eligibility and plan for the surgery. It enables patients to provide comprehensive details about their conditions and goals, aiding in the decision-making process and ensuring proper postoperative care.

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