I have bCBS IL and the way my paperwork reads is date, PCD name
patient name. DOB
height weight. BP pulse, reason for exam -patient desires medically supervised weight loss. subjective
exercise type & amounts per day/week
diet:
pharmacological- if not utilizing, please document reason why not.
behavior modification: Dietician, psychologist, support groups, internet/online.
comments, and objective findings.
recommendations: Encouraged continued dietary modifications as above. Discussed with patient their progress toward his/her goals, including continued exercise and behavior modification efforts. Recommeded increased protein and water intake, increased exercise, and decreased carbohydrate intake as preparation for the post-weight loss surgery lifestyle.
Physician signature: and date.
that is exactly how mine is typed up on a paper.
__________________
Leann= 24
Over BMI 50 club member #16
Current BMI= 56.7
Surgery Date: 10/14/09
317/ 280/ 289/ 184/ 150
Highest/ Current/ Day Of Surgery/ Surgeon's Goal/ My Goal
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