Intake and output documentation for bariatric patients 2025

1. Click ‘Get Form’ to open the intake form in the editor.
2. Begin by entering your name and contact information in the designated fields. Ensure accuracy as this will be used for communication regarding your program.
3. Provide your home address, including city, state, and zip code. This information is essential for any correspondence or potential follow-ups.
4. Fill out your birth date and indicate how you heard about the program. This helps us understand our outreach effectiveness.
5. List any major health issues you have, such as diabetes or high blood pressure. This section is crucial for tailoring your exercise program safely.
6. Detail any significant accidents or surgeries you've had, along with whether you received physical therapy. This information aids in assessing your fitness level.
7. Share your hobbies and other forms of exercise you engage in regularly. Understanding your interests can help us create a more enjoyable experience.
8. Indicate which services you're interested in by checking the appropriate boxes for private lessons, semi-private sessions, or classes.
9. Finally, articulate your goals for participating in the program. This will guide us in supporting you effectively throughout your journey.

Start using our platform today to streamline your intake process and enhance your experience!