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C A P E F E A R VA L E Y H E A LT Bariatric Weight Loss Program PATIENT INFORMATION: Name LastFirstMiddleAddressCityStateDate of Biosocial Security #ZipEmailEmployerOccupationEmployers Addressable
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How to fill out bariatric weight loss surgery

01
Consult with a bariatric surgeon to determine if you are a candidate for weight loss surgery.
02
Complete any necessary pre-surgery evaluations and tests.
03
Attend pre-operative appointments to discuss the procedure, risks, and expected outcomes.
04
Follow the recommended pre-surgery diet and exercise plan.
05
Arrive at the hospital on the day of surgery and follow all pre-surgery instructions from the medical team.
06
After surgery, follow post-operative instructions for diet, exercise, and follow-up appointments.

Who needs bariatric weight loss surgery?

01
Individuals who have a body mass index (BMI) of 40 or higher.
02
Individuals who have a BMI of 35 or higher and have obesity-related health conditions such as diabetes, high blood pressure, or sleep apnea.
03
People who have tried other weight loss methods without success.
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Bariatric weight loss surgery is a medical procedure that helps individuals lose weight by making changes to their digestive system.
Individuals who undergo bariatric weight loss surgery are required to report the procedure.
To fill out bariatric weight loss surgery, individuals must provide details of the procedure, date, and medical provider.
The purpose of bariatric weight loss surgery is to help individuals achieve significant weight loss and improve their overall health.
Information such as the type of surgery, date of procedure, and physician information must be reported on bariatric weight loss surgery.
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