Get Usc Metabolic And Bariatric Surgery Program Bariatric Patient Questionnaire 2018-2025
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How to fill out the USC Metabolic And Bariatric Surgery Program Bariatric Patient Questionnaire online
The USC Metabolic And Bariatric Surgery Program Bariatric Patient Questionnaire is a vital document that helps medical professionals understand your health and prepare for your weight loss surgery. This guide provides step-by-step instructions on how to complete this questionnaire online accurately and efficiently.
Follow the steps to successfully complete the questionnaire.
- Click ‘Get Form’ button to obtain the form and open it in your editor.
- Begin by entering your personal details such as your name, birthdate, address, and contact information in the designated fields.
- Provide your marital status and ethnicity by selecting from the available options.
- Fill in your insurance information, including the name of your insurance provider, member ID, and primary subscriber details.
- Indicate how you heard about the program and the date you attended the USC Bariatric Seminar.
- Answer the questions regarding your weight loss surgery considerations, preferred surgeon, and surgical procedure.
- Document your diet history by listing previous diet programs you have tried and any methods used for weight control.
- Record your weight history and significant personal events that may have influenced your weight over the years.
- Complete the section on food habits by detailing your consumption of beverages, meals, snacks, and any other dietary practices.
- List your surgical history, including types of procedures and any complications experienced.
- Provide any hospitalizations and medication histories, including medications taken and allergies.
- Detail your medical history, including any neurological, cardiac, pulmonary, endocrine, gastrointestinal, and psychiatric issues.
- Answer questions related to your social habits and exercise routines.
- Include family history concerning any hereditary health issues and review of symptoms you may currently experience.
- Finish by signing the document, ensuring that all information is accurate, and save, download, print, or share the completed form as needed.
Complete your USC Metabolic And Bariatric Surgery Program Bariatric Patient Questionnaire online today for a smoother appointment process.
Before bariatric surgery, you should ask about the surgeon's experience, the types of procedures offered, and the expected outcomes. Inquire about the USC Metabolic And Bariatric Surgery Program's support services, such as nutrition counseling and follow-up care. Understanding the commitment required post-surgery will help you prepare adequately.
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