Get the free BARIATRIC DEPARTMENT PATIENT INTAKE FORM

BARIATRIC DEPARTMENT PATIENT INTAKE FORM Please answer all questions to the best of your ability. Patient name: Date: SS#: Age: Address: Date of Birth: City/State/Zip Code: Sex: MALE FEMALE Phone

How to fill out bariatric department patient intake

How to fill out bariatric department patient intake:

1. Start by providing personal information such as your full name, date of birth, address, and contact details. This helps the department keep track of your medical records and communicate with you effectively.
2. Next, you will likely be required to answer questions about your medical history. Be prepared to provide details about any previous surgeries, medical conditions, allergies, and medications you are currently taking. This information is crucial for the bariatric department to assess your eligibility for certain procedures and ensure your safety during treatment.
3. You may also be asked to provide information about your weight history, including your current weight, any previous weight loss attempts, and any prior experiences with bariatric procedures. This can help the department understand your specific needs and tailor the treatment plan accordingly.
4. Some intake forms may include questions about your lifestyle and habits, such as your dietary habits, exercise routine, and alcohol or tobacco consumption. These questions are important as they give the bariatric department a comprehensive view of your overall health and can guide them in offering appropriate support during your weight loss journey.
5. It is common for bariatric departments to inquire about your expectations and goals from the procedure. This is an opportunity for you to express any concerns or desired outcomes you may have, allowing the department to work closely with you to achieve the best possible results.

Who needs bariatric department patient intake?

1. Individuals who are considering undergoing bariatric procedures, such as gastric bypass surgery or gastric sleeve surgery, will need to complete the bariatric department patient intake. This intake process helps the department assess the patient's eligibility, gather relevant medical information, and plan an appropriate treatment approach.
2. Patients who have already undergone bariatric surgery may also be required to fill out a patient intake form when visiting the bariatric department for follow-up appointments or post-operative care. This allows the department to closely monitor the patient's progress, address any concerns, and provide necessary support throughout their weight loss journey.
3. Additionally, individuals who are seeking consultations or guidance regarding non-surgical weight loss options or lifestyle modifications may also need to complete the bariatric department patient intake. This ensures that the department has all the relevant information to offer suitable advice and support tailor-made to the patient's needs.

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