Guest guest Posted January 7, 2009 Report Share Posted January 7, 2009 I am attaching two forms. One is what I use with PCP's for medical weight loss assessment but the first group of pages can be used by and RD and has a nice graph for the patients to fill in. The second is my assessment form. Sometimes I also to a statement and reply section to assess knowledge and preparation. I give statement such as " No sugar " or " Weight regain " " Vitamin supplements for life " and ask them to say the first thing they think of in response to the statement. <<Bariatric Medical Evaluation non-wellgroup.doc>> <<initial assessment form.doc>> Tina Musselman, R.D., C.C.N St. Center for Bariatric Surgery Bariatric Program Coordinator Registered Dietitian/Certified Clinical Nutritionist (708) 679-2717 (p) (708) 679-2418 (f) tina.musselman@... www.stjameshospital.org The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. Quote Link to comment Share on other sites More sharing options...
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