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BARIATRIC HEALTH HISTORY FORM FIRST NAME:MI: LAST NAME:DOB: AGE: Personal Physician(s); Family Medicine:Internist:Referring Provider: Pulmonary:Endocrine:Cardiologist:Other:Current Medications: NameDoseFrequencyALLERGIES:
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What is bariatric health history form?
The bariatric health history form is a document that collects detailed information about a patient's medical history, particularly related to obesity and weight loss surgeries.
Who is required to file bariatric health history form?
Patients who are considering or have undergone bariatric surgery are required to fill out the bariatric health history form.
How to fill out bariatric health history form?
Patients can fill out the bariatric health history form by providing accurate and detailed information about their medical history, current health status, and any previous weight loss surgeries.
What is the purpose of bariatric health history form?
The purpose of the bariatric health history form is to assess the patient's eligibility for bariatric surgery, identify any potential risks or complications, and ensure the best possible outcome for the patient.
What information must be reported on bariatric health history form?
The bariatric health history form typically includes information about the patient's medical conditions, medications, allergies, previous surgeries, and weight loss attempts.
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