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Worldwide Endobarrier Registry Followup Visit /Date/Name of Clinician(dd/mm/YYY)Which followup visit is this? Identification Number ForenameAfter endobarrier removalSurnameIf first visit after removal,
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Provide any relevant medical information, such as previous procedures or existing conditions, that may impact your eligibility for the endobarrier.
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The form endobarrier is a form used to report a medical device that is implanted in the intestines to help with weight loss.
Healthcare providers and facilities that implant the endobarrier device are required to file the form.
The form should be filled out with information about the patient receiving the device, the healthcare provider implanting it, and details about the device itself.
The purpose of the form is to track the use of the endobarrier device and monitor its effectiveness in weight loss treatments.
Information such as patient details, healthcare provider information, device specifications, and treatment outcomes must be reported on the form.
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