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Bariatric Surgery Referral Center for Weight Management and Wellness Thank you for referring your patient to us, please fill out and fax back! 29 S Greene Street, Baltimore, MD, 21201 Phones: 4103288940
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How to fill out bariatric surgery referral

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How to fill out bariatric surgery referral

01
To fill out a bariatric surgery referral, follow these steps:
02
Gather all necessary medical information about the patient, including their medical history, current medications, and any relevant test results.
03
Obtain the patient's consent to share their medical information with the bariatric surgery referral recipient.
04
Fill out the referral form completely and accurately, ensuring that all required fields are filled in.
05
Provide detailed information about the patient's BMI (Body Mass Index), previous weight loss attempts, and any co-morbidities.
06
Include any additional relevant information that may support the need for bariatric surgery, such as a letter of recommendation from a healthcare provider.
07
Double-check the referral form for any errors or missing information before submitting it.
08
Submit the completed referral form to the designated recipient, either by fax, email, or through an online submission portal.
09
Follow up with the recipient to ensure they have received the referral and to inquire about any additional steps or documentation needed.
10
Keep a copy of the completed referral form for your records.

Who needs bariatric surgery referral?

01
Bariatric surgery referral is typically needed for individuals who are considering undergoing bariatric surgery to treat severe obesity.
02
Candidates for bariatric surgery referral may include individuals who meet specific criteria, such as a BMI (Body Mass Index) of 40 or higher, or a BMI of 35 or higher with significant obesity-related health conditions.
03
The referral is often required as part of the evaluation process to determine if the individual is a suitable candidate for bariatric surgery and to ensure that all necessary medical information is provided to the surgical team.
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Bariatric surgery referral is a recommendation from a healthcare provider for a patient to undergo bariatric surgery as a treatment option for severe obesity.
Healthcare providers such as doctors, surgeons, or specialists are required to file bariatric surgery referral for their patients who may benefit from the surgery.
To fill out a bariatric surgery referral, healthcare providers need to include the patient's medical history, weight loss goals, and any other relevant information to support the need for the surgery.
The purpose of bariatric surgery referral is to recommend and facilitate the process for patients to undergo bariatric surgery as a treatment for severe obesity and related health conditions.
Bariatric surgery referral must include patient's medical history, weight loss efforts, BMI, comorbidities, previous treatments, and reasons for recommending surgery.
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