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Chris Hancock, DO | Kristina Doolittle, APRN | Jayme Taylor, APRN, CSOWMNEW WEIGHT MANAGEMENT PATIENT MEDICAL HISTORY FORM Name: (First)___ (Last) ___ (MI)___ Date of Birth: ___/___/___ Date of Visit:
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01
Gather the patient's basic information including name, age, gender, and contact details.
02
Record the patient's medical history including any pre-existing conditions, medications, and previous weight management attempts.
03
Conduct a physical assessment to determine the patient's current weight, height, BMI, and other relevant measurements.
04
Discuss the patient's lifestyle habits, including diet, physical activity, and sleep patterns.
05
Identify the patient's weight loss goals and timeline.
06
Educate the patient about the weight management options available, including dietary changes, exercise plans, and behavioral therapy.
07
Set up follow-up appointments to monitor progress and adjust the weight management plan as needed.

Who needs new weight management patient?

01
Individuals struggling with obesity or overweight issues.
02
Patients who have tried various diets without successful, long-term results.
03
People with medical conditions that require weight management for better health outcomes.
04
Individuals looking for professional guidance in changing their eating habits and physical activity levels.
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A new weight management patient refers to an individual who is beginning a new program or treatment plan aimed at managing their weight, often involving consultations with health professionals, nutritional assessments, and personalized fitness regimens.
Healthcare providers who are treating individuals under a weight management program are generally required to file documentation related to new weight management patients.
To fill out the new weight management patient form, healthcare providers should collect and input relevant patient information, medical history, weight management goals, and any prescribed treatment plans.
The purpose of new weight management patient documentation is to assess the individual's health needs, establish a baseline for treatment, track progress, and ensure that appropriate care is provided throughout the weight management process.
Information that must be reported includes the patient's demographics, medical history, weight management goals, baseline weight, any relevant health conditions, and the planned treatment approach.
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