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NEW PATIENT MEDICAL HISTORY BARIATRIC Patient Name: Date of Birth Gender Identity (Optional) Please answer the following questions so that we can better meet your needs. Date:DEMOGRAPHICS Referring

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How to fill out obesity surgery pre-op assessment

01

Schedule and attend a preoperative assessment appointment with your healthcare provider.

02

Provide your complete medical history, including any underlying health conditions and previous surgeries.

03

Undergo a physical examination to assess your current health status.

04

Complete any necessary laboratory tests, such as blood work and imaging studies.

05

Follow any preoperative diet or exercise recommendations provided by your healthcare team.

06

Attend any required educational sessions to prepare for the surgery and postoperative care.

Who needs obesity surgery pre-op assessment?

01

Individuals who are considering undergoing obesity surgery, also known as bariatric surgery, may need to undergo a preoperative assessment to evaluate their candidacy for the procedure.

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What is obesity surgery pre-op assessment?

Obesity surgery pre-op assessment is a medical evaluation conducted before a patient undergoes weight loss surgery.

Who is required to file obesity surgery pre-op assessment?

Patients who are scheduled to undergo obesity surgery are required to complete and file the pre-op assessment.

How to fill out obesity surgery pre-op assessment?

Obesity surgery pre-op assessment typically includes medical history, physical examination, and possibly additional tests or consultations.

What is the purpose of obesity surgery pre-op assessment?

The purpose of obesity surgery pre-op assessment is to evaluate the patient's overall health and determine their readiness for weight loss surgery.

What information must be reported on obesity surgery pre-op assessment?

Information such as medical history, current medications, allergies, past surgeries, and any relevant medical conditions must be reported on the assessment.

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