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Erlang her Metabolic and Bariatric Center 979 East Third Street, Suite C620 Chattanooga, TN 37403 Phone 4237719191 Fax 4237789482 PATIENT DEMOGRAPHIC SHEET Patient Name Birth Date Sex: M F SSN Marital
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How to fill out erlanger metabolic and bariatric

How to fill out erlanger metabolic and bariatric
01
Step 1: Obtain the Erlanger Metabolic and Bariatric Surgery Patient Packet from the designated source.
02
Step 2: Review the packet and familiarize yourself with the contents, including the necessary forms and questionnaire.
03
Step 3: Complete the personal information section of the forms, providing accurate and up-to-date details about yourself.
04
Step 4: Answer all the questions on the questionnaire honestly and to the best of your knowledge.
05
Step 5: If any specific instructions are provided regarding medical tests or evaluations, follow them accordingly.
06
Step 6: Ensure that you have all supporting documents, such as medical records or referral letters, if required.
07
Step 7: Carefully read and sign all consent forms, acknowledging your understanding of the potential risks and benefits of the procedure.
08
Step 8: Return the completed packet, along with any additional required documentation, to the designated address or office specified in the instructions.
09
Step 9: Wait for the Erlanger Metabolic and Bariatric Surgery team to review your application and contact you with further instructions or to schedule an evaluation.
10
Step 10: Attend the evaluation appointment or any follow-up appointments as suggested by the healthcare professionals at Erlanger Metabolic and Bariatric Surgery.
Who needs erlanger metabolic and bariatric?
01
The Erlanger Metabolic and Bariatric Surgery program is intended for individuals who are struggling with obesity and have not been successful in achieving substantial weight loss through conventional methods such as dieting and exercise.
02
Candidates for Erlanger Metabolic and Bariatric Surgery may include individuals with a body mass index (BMI) of 40 or higher, or those with a BMI of 35 or higher who also have significant obesity-related health conditions such as type 2 diabetes, hypertension, or obstructive sleep apnea.
03
It is important to consult with a healthcare professional at Erlanger Metabolic and Bariatric Surgery to determine if you meet the specific criteria and would benefit from these services.
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What is erlanger metabolic and bariatric?
Erlanger Metabolic and Bariatric refers to a specialized medical program at Erlanger Health System that focuses on providing comprehensive treatment options for individuals dealing with obesity, including surgical and non-surgical weight loss methods.
Who is required to file erlanger metabolic and bariatric?
Individuals seeking metabolic and bariatric treatment at Erlanger are typically required to file necessary medical documentation and insurance forms as part of their pre-operative assessment and insurance authorization process.
How to fill out erlanger metabolic and bariatric?
To fill out the Erlanger metabolic and bariatric documentation, patients must complete medical history forms, consent forms, and insurance verification forms provided by the healthcare staff, ensuring all medical and personal information is accurate.
What is the purpose of erlanger metabolic and bariatric?
The purpose of Erlanger Metabolic and Bariatric is to assist individuals in achieving sustainable weight loss and improved health through tailored programs that include medical evaluations, counseling, nutritional guidance, and surgical options.
What information must be reported on erlanger metabolic and bariatric?
Patients must report their medical history, current health conditions, previous weight loss attempts, and personal information when filing documentation for Erlanger Metabolic and Bariatric treatment.
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