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BARIATRIC SURGERY PATIENT QUESTIONNAIRE G. Dean Role, MD Beth Ryder, MD(401) 7935708 Todd Stafford, MD(401) 5538303 Marcoandrea Giorgi, Height:(401) 7935701First Name: Weight:(401) 7935140 Andrew

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How to fill out bariatric surgery patient questionnaire

01

Begin by reading all instructions provided with the questionnaire.

02

Provide accurate personal information, including name, age, contact information, and medical history.

03

Answer all questions honestly and to the best of your ability.

04

If you are unsure about a question, leave it blank or ask a medical professional for clarification.

05

Double-check your answers before submitting the questionnaire.

Who needs bariatric surgery patient questionnaire?

01

Individuals who are considering bariatric surgery as a treatment option for obesity.

02

Patients who have been recommended by their healthcare provider to undergo bariatric surgery.

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What is bariatric surgery patient questionnaire?

The bariatric surgery patient questionnaire is a set of forms and questions designed to gather information about a patient's medical history, lifestyle, and specific health concerns before undergoing bariatric surgery.

Who is required to file bariatric surgery patient questionnaire?

Patients who are considering bariatric surgery are required to file the bariatric surgery patient questionnaire as part of the pre-operative evaluation process.

How to fill out bariatric surgery patient questionnaire?

To fill out the bariatric surgery patient questionnaire, patients should provide accurate and honest answers to all questions, including details about their medical history, current medications, weight history, and lifestyle habits.

What is the purpose of bariatric surgery patient questionnaire?

The purpose of the bariatric surgery patient questionnaire is to assess the patient's eligibility for surgery, determine risks, and develop an appropriate treatment plan by gathering comprehensive health information.

What information must be reported on bariatric surgery patient questionnaire?

Information that must be reported includes personal details, medical history, current weight and height, previous weight loss attempts, dietary habits, exercise routines, and any existing health conditions.

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