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Applicant Name (Last, First, Middle Initial)Date of Birth / / Medical Case Number: (Mo/Day/Year)Low Body Mass Index Evaluation Form OMB No.: 04200550 Expiration Date: 1/31/2014LOW BODY MASS INDEX
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What is low body mass index?
Low body mass index (BMI) is a measure of body fat based on height and weight that applies to adult men and women.
Who is required to file low body mass index?
Healthcare professionals or researchers may be required to file low body mass index records for their patients or study participants.
How to fill out low body mass index?
Low body mass index can be filled out by measuring a person's weight and height and then calculating their BMI using a specific formula.
What is the purpose of low body mass index?
The purpose of low body mass index is to assess a person's risk for certain health conditions related to weight and body fat.
What information must be reported on low body mass index?
Information such as the individual's weight, height, calculated BMI, and any relevant notes or context may need to be reported on low body mass index forms.
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