Get the free Referral for Bariatric Surgery Evaluation

PATIENT REFERRAL FORMOhioHealth Physician Group Bariatric Surgery General SurgeryPatient information: Patient Name: ___Date: ___Address: ___City: ___ State: ___ Zip code: ___Main Phone: ___Alternate

How to fill out referral for bariatric surgery

How to fill out referral for bariatric surgery

1. Consult your primary care physician to discuss your weight and health concerns.
2. Obtain information about the eligibility criteria for bariatric surgery.
3. Prepare a detailed medical history including any obesity-related health issues.
4. Complete any required evaluations, such as psychological assessments and nutritional counseling.
5. Fill out the referral form provided by your physician, including necessary medical documentation.
6. Submit the referral to the bariatric surgery center or specialist.
7. Wait for the approval from your insurance provider, if applicable.
8. Schedule an appointment with the bariatric surgeon after the referral is approved.

Who needs referral for bariatric surgery?

1. Individuals with a Body Mass Index (BMI) of 40 or higher.
2. Individuals with a BMI of 35 or higher with obesity-related health conditions (e.g., diabetes, hypertension).
3. Patients who have tried and failed to lose weight through non-surgical methods.
4. Individuals who are committed to making lifestyle changes and participating in follow-up care.

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What is referral for bariatric surgery?

A referral for bariatric surgery is a recommendation or authorization from a healthcare provider that a patient undergoes weight-loss surgery due to obesity-related health issues.

Who is required to file referral for bariatric surgery?

Typically, the primary care physician or a specialist, such as an endocrinologist, is required to file the referral for bariatric surgery on behalf of the patient.

How to fill out referral for bariatric surgery?

To fill out a referral for bariatric surgery, the healthcare provider needs to complete the referral form with patient details, medical history, and any supporting documents that demonstrate the necessity of the surgery.

What is the purpose of referral for bariatric surgery?

The purpose of a referral for bariatric surgery is to ensure that the patient meets the medical criteria for surgery and to provide the surgical team with the necessary medical information to assess the patient's eligibility.

What information must be reported on referral for bariatric surgery?

The referral must report the patient's medical history, current health conditions, BMI, previous weight loss attempts, and any relevant psychological evaluations or assessments.