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David C. Green, Jr., MD, FACS
Peter W. Lundberg, MD, FACSVaughn E. Norseman, BARIATRIC PATIENT INFORMATION PACKET
Patient Name: ___
Address ___
City ___ State ___ Zip ___
Home Phone ___ Work ___
Cell
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How to fill out bariatric new patient packet

How to fill out bariatric new patient packet
01
Start by gathering all the necessary documents and information, such as your medical history, previous surgeries, and insurance information.
02
Fill out the personal information section of the packet, including your name, address, contact information, and date of birth.
03
Provide details about your current health status, any ongoing medical conditions, and any medications you are currently taking.
04
Answer questions related to your weight history, including any previous attempts at weight loss and any medical interventions you have tried.
05
Complete the dietary questionnaire, providing information about your current eating habits, food preferences, and any dietary restrictions.
06
Fill out the exercise and physical activity section, including details about your current fitness routine and any limitations or challenges you may have.
07
If applicable, provide information about any previous bariatric surgeries or procedures you have undergone.
08
Review and sign the consent forms and any other required legal documents.
09
Double-check that you have completed all sections of the packet and have included any additional requested documents or records.
10
Submit the filled-out packet to the designated bariatric clinic or healthcare provider as instructed.
Who needs bariatric new patient packet?
01
Anyone who is considering undergoing bariatric surgery or seeking treatment for obesity may need to fill out a bariatric new patient packet. This packet is typically required by bariatric clinics or healthcare providers as part of the initial patient registration process.
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What is bariatric new patient packet?
The bariatric new patient packet is a collection of forms and documents that new patients must complete before undergoing bariatric surgery. It typically includes medical history, consent forms, and pre-operative instructions.
Who is required to file bariatric new patient packet?
Individuals seeking bariatric surgery and their healthcare providers are required to complete and file the bariatric new patient packet.
How to fill out bariatric new patient packet?
To fill out the bariatric new patient packet, patients should follow the provided instructions, ensuring all sections are completed accurately. Necessary personal and medical information must be provided, along with signatures where required.
What is the purpose of bariatric new patient packet?
The purpose of the bariatric new patient packet is to gather essential information about the patient's health and medical history to assess eligibility for bariatric surgery and to prepare for the surgical process.
What information must be reported on bariatric new patient packet?
The packet must report personal information, medical history, current medications, previous weight loss attempts, psychological evaluations, and any other relevant health information.
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