Supervised Medical Weight Loss You will need ____ months of medically supervised weight- loss sessions. These visits may be with: • A physician who specializes in weight-loss management • A dietitian Please see the referral list. It is important that you continue appointments with the dietitian after surgery and for the long term. Visits must be consecutive to prevent insurance denials. Psychological Evaluation A psychological evaluation is required for approval for bariatric surgery. See the mental health referral list to find a provider. Mandatory Pre-Op Class One month before your surgery, you will be required to attend the pre-surgery educational class. The class is held the first Tuesday of every month.
Date: ________________
Medical Clearance Work-Up Pre-admission blood tests, medical evaluations, and medical clearance must be completed 2–4 weeks before your surgery. If you have diabetes, your HbA1c must be <7. Please note: Medical clearance and labs are good for only 30 days.
9
Made with FlippingBook Digital Proposal Creator