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330 Turner McCall Blvd. Suite 202 Rome, GA 30165 Phone 7065095122 Fax 7062927364 www.floydbariatrics.orgPhysician Supervised Weight Loss Visit Patient Name: Date: DOB: Physician: WT: HT: BP: Pulse:
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How to fill out physician supervised weight loss

01
To fill out physician supervised weight loss, follow these steps:
02
Schedule an appointment with a physician who specializes in weight loss.
03
Discuss your weight loss goals and medical history with the physician.
04
The physician may conduct a physical examination and order certain tests to determine your current health status.
05
Based on the assessment, the physician will create a customized weight loss plan tailored to your needs and goals.
06
Follow the prescribed plan, which may include a combination of dietary changes, exercise recommendations, behavior modifications, and medication or surgical interventions, depending on your specific situation.
07
Regularly visit the physician for check-ups and progress evaluations.
08
Communicate any concerns or difficulties you may be experiencing during the weight loss journey, as the physician can provide guidance and support.
09
Keep track of your progress and celebrate milestones along the way.
10
Gradually transition to a healthy lifestyle after achieving your weight loss goals with the guidance of your physician.

Who needs physician supervised weight loss?

01
Physician supervised weight loss is suitable for individuals who:
02
- Have a body mass index (BMI) of 30 or higher.
03
- Have obesity-related health issues such as diabetes, high blood pressure, or sleep apnea.
04
- Have tried previous weight loss methods without success.
05
- Require a personalized and monitored approach to weight loss.
06
- Need guidance in managing their weight due to medical conditions or medications.
07
- Want to ensure safe and effective weight loss under the supervision of a qualified healthcare professional.
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Physician supervised weight loss is a program where a healthcare provider oversees and guides a patient through their weight loss journey.
Individuals who are participating in a physician supervised weight loss program are required to file their progress.
To fill out physician supervised weight loss, individuals must accurately report their weight loss progress as guided by their healthcare provider.
The purpose of physician supervised weight loss is to help individuals safely and effectively lose weight under the guidance of a healthcare professional.
Individuals must report their starting weight, progress, any challenges faced, and any changes or adjustments made to their weight loss plan.
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