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BARIATRIC SURGERY QUESTIONNAIRE Today's Date First Name Middle Initial Last Name Nickname Date of Birth Family PhysicianGender: Male FemaleReferring PhysicianHospital Preference: Mercy Medical Center
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Start by finding the current date. This can usually be found on your computer or device's taskbar or in the top corner of your calendar application.
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Once you have the current date, write it down in the appropriate format. This can vary depending on your location, but commonly includes the month, day, and year. For example, 'September 22, 2022'.
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Write your first name in the provided space. Ensure that it is spelled correctly and neatly.
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Today's date and first name may be required by various individuals or organizations. Here are some examples of who may need this information:
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