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MOSAIC Case Number:FOLLOWUP FORM Assessment Performed by a Metabolic or Bariatric Specialist 6 Months/IDN:Name: 1 Year Annual enter year #: ___ Yes Height in weight AND COMORBIDITIES Date Documented___/___/___Weight

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How to fill out metabolic and bariatric surgery

01

Consult with a healthcare provider specialized in metabolic and bariatric surgery to determine if you are a candidate for the procedure.

02

Attend informational sessions to learn about the risks, benefits, and expectations of the surgery.

03

Complete any required medical tests and evaluations to assess your overall health and readiness for the surgery.

04

Work with a dietitian to follow a pre-operative diet plan to help prepare your body for the surgery.

05

Follow post-operative guidelines provided by your healthcare team to ensure a successful recovery and long-term weight loss.

Who needs metabolic and bariatric surgery?

01

Individuals who have a body mass index (BMI) of 40 or higher.

02

Individuals who have a BMI between 35-39.9 and are experiencing obesity-related health conditions such as diabetes, hypertension, or sleep apnea.

03

Individuals who have made unsuccessful attempts at losing weight through diet and exercise.

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What is metabolic and bariatric surgery?

Metabolic and bariatric surgery is a surgical procedure that is designed to help patients with obesity or metabolic disorders.

Who is required to file metabolic and bariatric surgery?

Patients who undergo metabolic and bariatric surgery are required to report the procedure to their healthcare providers.

How to fill out metabolic and bariatric surgery?

Patients can fill out the necessary documentation for metabolic and bariatric surgery with the assistance of their healthcare providers.

What is the purpose of metabolic and bariatric surgery?

The purpose of metabolic and bariatric surgery is to help patients lose weight and improve their overall health.

What information must be reported on metabolic and bariatric surgery?

Patients must report details of the surgical procedure, any complications, and follow-up care to their healthcare providers.

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