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Re: Initial visit forms

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This is what I use for pre and post surgery. The two surgeries performed at my center are lap band and RNY gastric bypass.

Merle Shapera, MS, RD

West Suburban Medical Center

Oak Park, IL

From: Tammy Hutchisen <t_hutchisen@...>Subject: Initial visit forms Date: Tuesday, January 6, 2009, 7:54 PM

Hello,

I am trying to make my initial nutrition consult/visit paperwork a little more comprehensive and streamlined. Efficiency is a goal for 2009!!

Would anyone be willing to share what they include (i.e. categories, etc.) on their initial visit form and/or share an actual copy?

Thank you!

Tammy Hutchisen RD, LDN, CPT

Mid-land Bariatrics

Frederick, MD

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Merle,

Thank you so much for sharing these. I greatly appreciate it.

From: Tammy Hutchisen <t_hutchisen>Subject: [bariatricNutrition Dietitians] Initial visit formsBariatricNutritionD ietitiansDate: Tuesday, January 6, 2009, 7:54 PM

Hello,

I am trying to make my initial nutrition consult/visit paperwork a little more comprehensive and streamlined. Efficiency is a goal for 2009!!

Would anyone be willing to share what they include (i.e. categories, etc.) on their initial visit form and/or share an actual copy?

Thank you!

Tammy Hutchisen RD, LDN, CPT

Mid-land Bariatrics

Frederick, MD

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So when you say you've attached forms

- where are they? - I have never seen them in the actual list serve emails

I receive.

Thanks

Jeannie , RD

Clinical Dietitian

Bariatric Surgery Dept

Kaiser Permanente

1200 El Camino Real

South San Francisco, CA 94080

NOTICE TO RECIPIENT:

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from sharing, copying, or otherwise using or disclosing its contents. If

you have received this e-mail in error, please notify the sender immediately

by reply e-mail and permanently delete this e-mail and any attachments

without reading, forwarding or saving them. Thank you.

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I have a pre-op nutrition class or individual appointment where we cover eating behavior, anthropometric data, estimate the individual's protein needs, and I list if the patient has a good/fair/poor understanding. This is for insurance purposes, but also helps me to be sure I cover the basics. Of course there's a lot more covered in the class, but each patient receives a full binder to keep.

The individual paperwork that each receives will have my name and contact info, the surgery the person chose, how much protein is needed post-op, and the vitamin regimen required. So, this sheet is for the patient to keep as a reference, along with the binder.

I hope that helps. If I'm unclear, let me know!

From: Tammy Hutchisen <t_hutchisen@...>Subject: Initial visit forms Date: Tuesday, January 6, 2009, 8:54 PM

Hello,

I am trying to make my initial nutrition consult/visit paperwork a little more comprehensive and streamlined. Efficiency is a goal for 2009!!

Would anyone be willing to share what they include (i.e. categories, etc.) on their initial visit form and/or share an actual copy?

Thank you!

Tammy Hutchisen RD, LDN, CPT

Mid-land Bariatrics

Frederick, MD

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