Follow the steps to effectively complete the nutrition chart form.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Proceed to the 'Patient Information' section. Complete the fields, including patient initials, age, and medical diagnosis.
3. In the 'Current Weight' and 'Usual Weight' fields, input the patient’s current and usual weight. Note any recent weight changes in the appropriate section.
4. Fill in the 'Estimated Energy Needs' by calculating 25 kcal per kilogram of the current body weight, as well as other nutrient needs as specified.
5. Document the 'Diet History' by noting the patient's intake and status, specifying the percentage of needs being met from various sources.
6. In the 'Pertinent Lab Values' section, list the relevant lab tests and their results, providing interpretations as necessary.
7. Detail any 'Nutritional Risk Factors' that apply to the patient, including any relevant medical history or considerations.
8. Complete the 'Usual Medications or Dietary Supplements' section, including information about current medications and their implications.
9. Fill out the 'Nutrition Diagnosis' section using a P-E-S format to highlight the identification of any nutritional issues.
10. In the 'Interventions' section, outline specific goals, plans for monitoring, and intervention strategies clearly.
11. Check the 'Monitoring' section and mark all applicable items that will be monitored following the interventions.
12. Finally, ensure to save your changes, and use options to download, print, or share the completed form as needed.

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