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Bariatric & General Surgery Dr. Role 44199 Require Rd. Troy, MI 48085 Area C, Suite 315, Troy POB Patient Informational:Name: ______Birth Date: ___/___/___Social Security No: ___ Address: ___ City:
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Individuals who are new patients at a shared bariatric clinic
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What is saved as sharedbariatricnew patient?
Shared Bariatric New Patient form is saved as sharedbariatricnew patient.
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Medical professionals and clinics who have treated new bariatric patients are required to file saved as sharedbariatricnew patient.
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The form can be filled out electronically or manually, including patient information, treatment details, and outcomes.
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The purpose is to track and share information about new bariatric patients for research and quality improvement purposes.
What information must be reported on saved as sharedbariatricnew patient?
Information such as patient demographics, procedure details, pre and post-operative care, and outcomes must be reported.
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