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Medical History Questionnaire Johns Hopkins Center for Bariatric Surgery Surgeon Preference: Gina Ad rales, M.D. Alisa Cover, M.D. Katherine Lamont, M.D. (Bible Memorial Hospital) Thomas Manson, M.D.
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How to fill out bariatric surgery medical history

01
Gather all relevant medical records and test results.
02
Complete all sections of the medical history form accurately.
03
Provide detailed information about your past medical conditions, surgeries, and medications.
04
Include information about any allergies or adverse reactions to medications.
05
Be honest and thorough when documenting your current and past health habits, including smoking, alcohol consumption, and drug use.
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Make sure to sign and date the form before submitting it to your healthcare provider.

Who needs bariatric surgery medical history?

01
Individuals who are considering undergoing bariatric surgery need to fill out a bariatric surgery medical history form.
02
This form helps healthcare providers assess the patient's overall health, past medical conditions, and risk factors for complications during and after the surgery.
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Bariatric surgery medical history is a record of a patient's past medical procedures, treatments, and conditions related to bariatric surgery.
Patients who are undergoing or have undergone bariatric surgery are required to file their medical history.
The bariatric surgery medical history form can usually be filled out with the assistance of healthcare providers or by providing details of past surgeries and related information.
The purpose of bariatric surgery medical history is to provide healthcare providers with essential information about a patient's surgical history and help in making informed decisions about their care.
Information such as past surgeries, treatments, medications, allergies, complications, and pre-existing conditions related to bariatric surgery must be reported.
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