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Patient Name: Date of Birth: (Last) (First)Norton Healthcare Weight Loss Surgery Patient Package Send completed information to: Norton Weight Management Services 1000 Dupont Road Louisville, KY 40207
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01
Gather all necessary documents and forms.
02
Start with personal information section and fill out your name, date of birth, and contact information.
03
Move on to the medical history section and provide details about any previous surgeries, medical conditions, medications, and allergies.
04
Answer all the questions related to your current health status, including any ongoing treatments or symptoms.
05
Fill out the insurance and payment information sections, including any necessary authorizations or referrals.
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Who needs nwm bariatric packet for?

01
The NWM bariatric packet is needed for individuals who are interested in undergoing bariatric surgery at NWM (Northwest Medical Center) or for their healthcare providers who need to collect comprehensive medical information for evaluation and treatment planning.
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The nwm bariatric packet is for patients undergoing bariatric surgery at NWM hospitals.
Patients who are scheduled for bariatric surgery at NWM hospitals are required to file the bariatric packet.
The nwm bariatric packet can be filled out online or in person at NWM hospitals with the assistance of healthcare providers.
The purpose of the nwm bariatric packet is to gather necessary medical information and history for bariatric surgery preparation and care.
The nwm bariatric packet must include medical history, current medications, allergies, previous surgeries, and family medical history.
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