Bariatric Surgery Consultation (15 mins)
🌸Do you have any chronic disease?
🌸Gender
🌸Date of Birth
🌸What is your height in cm?
🌸What is your weight in kg?
🌸Do you smoke? If yes how often?
🌸Do you drink alcohol? If yes how often?
🌸Are you currently receiving any medical treatment from a doctor/hospital/clinic?
🌸Are you taking any prescribed medication? If yes which ones?
🌸Are you pregnant?
🌸Are you allergic to any food - medicine or substances?
🌸Have you ever had a blood transfusion?
🌸Do you have fever or eczema?
🌸Do you have bronchitis - asthma or any other chest condition?
🌸Do you suffer from fainting attacks - giddiness - blackouts or epilepsy?
🌸Do you have heart problems - angina - blood pressure problems or stroke?
🌸Do you have diabetes?
🌸Do you have bruising or persistent bleeding following injury - tooth extraction or surgery?
🌸Do you have any infectious diseases? (Hepatitis - HIV - etc...)
🌸Have you ever had any sort of surgery before? If yes, please explain