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NAME: MAN: Adult Bariatric Surgery ProgramHealth History Questionnaire Medical / NutritionalBIRTHDATE:Please also fill out the upper right hand corner on all pages. SURGICAL PROCEDURE YOU ARE INTERESTED
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How to fill out bariatric patient medical history

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How to fill out bariatric patient medical history

01
Start by gathering all necessary medical history forms and documents for the bariatric patient.
02
Ensure that the patient's personal information is accurately recorded, including their full name, date of birth, and contact information.
03
Begin documenting the patient's medical history by recording any pre-existing conditions or chronic illnesses they may have.
04
Ask the patient about any previous surgeries or medical procedures they have undergone.
05
Document the patient's current medications, including the name, dosage, and frequency of each medication.
06
Inquire about any known allergies or adverse reactions to medications or substances.
07
Record the patient's family medical history, including any hereditary conditions or diseases that may be relevant.
08
Ask the patient about their lifestyle habits, such as diet, exercise, smoking, and alcohol consumption.
09
Document any previous or ongoing mental health conditions, as they can impact the patient's overall well-being.
10
Finally, review the completed medical history form with the patient to ensure accuracy and address any questions or concerns they may have.

Who needs bariatric patient medical history?

01
Bariatric patient medical history is required for individuals who are considering or undergoing bariatric surgery.
02
Healthcare professionals, including bariatric surgeons and dieticians, also need access to this medical history to make informed treatment decisions.
03
Insurance providers may request bariatric patient medical history to determine eligibility and coverage for bariatric surgery.
04
Research institutions and medical professionals conducting studies or research related to bariatric surgery may also require access to bariatric patient medical history.
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Bariatric patient medical history includes information about the patient's previous surgeries, medical conditions, medications, allergies, and other relevant health details.
The healthcare provider performing the bariatric surgery is typically required to file the patient's medical history.
To fill out bariatric patient medical history, the healthcare provider will gather information from the patient, review medical records, and document relevant details in the patient's file.
The purpose of bariatric patient medical history is to ensure that the healthcare provider has a comprehensive understanding of the patient's health status prior to undergoing bariatric surgery.
Information such as previous surgeries, medical conditions, medications, allergies, and other relevant health details must be reported on bariatric patient medical history.
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