Get Bariatric Clinic Screening Assessment Form 76 Kb - Alfred Health
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How to fill out the Bariatric Clinic Screening Assessment Form 76 KB - Alfred Health online
Filling out the Bariatric Clinic Screening Assessment Form is an important step in assessing eligibility for bariatric surgery. This guide provides a clear, step-by-step approach to completing the form online, ensuring that all necessary information is correctly submitted.
Follow the steps to complete the form online effectively.
- Press the ‘Get Form’ button to access and open the Bariatric Clinic Screening Assessment Form for completion.
- Begin by entering your family name and given names in the respective fields. This information is crucial for identifying your application.
- Provide your date of birth and patient gender. Ensure the information is accurate, as it will be used for screening.
- Indicate your BMI by calculating your weight to height ratio according to the guidelines provided in the form.
- Answer questions regarding previous attempts to lose weight. Choose ‘Yes’ or ‘No’ for each relevant attempt.
- Assess your surgical risk by confirming any existing medical conditions in the provided options. Include further details if necessary.
- Evaluate your mental health and cognitive status by responding to each condition listed, ensuring to provide any relevant details.
- Identify any obesity-related comorbid conditions, selecting applicable ones from the list provided.
- Finally, review all sections for accuracy. Once satisfied, save your changes, and proceed to download, print, or share the completed form as needed.
Complete your Bariatric Clinic Screening Assessment Form online today to ensure timely processing!
To be eligible for bariatric surgery, you must be between 16 and 70 years of age (with some exceptions) and morbidly obese (weighing at least 100 pounds over your ideal body weight and having a BMI of 40). Am I A Candidate For Weight Loss Surgery? - Cleveland Clinic clevelandclinic.org https://my.clevelandclinic.org › departments › bariatric clevelandclinic.org https://my.clevelandclinic.org › departments › bariatric
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