Medical History Form

 

Name:                                                                           Age:                Sex:    M     F

 

Family Physician:                                                                                    Phone:                                    

 

Present Status:

 

1.      Are you in good health at the present time to the best of your knowledge?                  Yes      No

 

2.      Are you under a doctor’s care at the present time?                                                    Yes      No

      If yes, for what?                                                                                                     

 

3.      Are you taking any medications at the present time?                                                  Yes      No

      What:                                                                      Dosages:                                 

      What:                                                                      Dosages:                                 

 

4.      Any allergies to any medications?                                                                             Yes      No

                                                                                                                                   

 

5.      History of High Blood Pressure?                                                                              Yes      No

 

6.   History of Diabetes?                                                                                                Yes      No

      At what age:                      

 

7.      History of Heart Attack or Chest Pain?                                                                    Yes      No

 

8.      History of Swelling Feet                                                                                           Yes      No

 

9.   History of Frequent Headaches?                                                                              Yes      No

Migraines?                                                                                                              Yes       No         Medications for Headaches:                                             

 

10.  History of Constipation (difficulty in bowel movements)?                                           Yes      No

 

11.  History of Glaucoma?                                                                                              Yes      No

 

12.  Gynecologic History:

      Pregnancies:     Number:                               Dates:                                                 

      Natural Delivery or C-Section (specify):                                                                  

      Menstrual:   Onset:                                      

                        Duration:                                  

                        Are they regular:    Yes       No

                        Pain associated:      Yes       No

                        Last menstrual period:                                                                           

     Hormone Replacement Therapy:                                                                               Yes      No

                                    What:                                                                                                  

     Birth Control Pills:                                                                                                    Yes      No

                        Type:                                                                                                   

     Last Check Up:                                                                                                       

 

 

13.  Serious Injuries:                                                                                                       Yes      No

      Specify:                                                                                                                   Date:              

 

14.  Any Surgery:                                                                                                           Yes      No

      Specify:                                                                                                                   Date:              

      Specify:                                                                                                                   Date:              

 

15.  Family History:

 

                        Age                  Health              Disease                        Cause of Death             Overweight?

      Father:                                                                                                                                           

      Mother:                                                                                                                                          

      Brothers:                                                                                                                                        

      Sisters:                                                                                                                                           

 

      Has any blood relative ever had any of the following:

            Glaucoma:                     Yes    No   Who:                                                                                               Asthma:                        Yes    No   Who:                                                                                  

            Epilepsy:                       Yes    No   Who:                                                                                  

            High Blood Pressure      Yes    No   Who:                                                                                  

            Kidney Disease:            Yes    No   Who:                                                                                  

            Diabetes:                      Yes    No   Who:                                                                                  

            Tuberculosis:                 Yes    No   Who:                                                                                  

            Psychiatric Disorder      Yes    No   Who:                                                                                  

            Heart Disease/Stroke      Yes   No   Who:                                                                                 

 

Past Medical History: (check all that apply)

 

                   Polio                                        Measles                                   Tonsillitis

                   Jaundice                                  Mumps                                    Pleurisy

                   Kidneys                                   Scarlet Fever                           Liver Disease

                   Lung Disease   `                       Whooping Cough                      Chicken Pox

                   Rheumatic Fever                      Bleeding Disorder                     Nervous Breakdown

                   Ulcers                                     Gout                                        Thyroid Disease

                   Anemia                                    Heart Valve Disorder               Heart Disease

                   Tuberculosis                             Gallbladder Disorder                 Psychiatric Illness

                   Drug Abuse                             Eating Disorder                        Alcohol Abuse

                   Pneumonia                               Malaria                                    Typhoid Fever

                   Cholera                                    Cancer                                                Blood Transfusion

                   Arthritis                                   Osteoporosis                            Other:                         

 

Nutrition Evaluation:

 

1.      Present Weight:                    Height (no shoes):                     Desired Weight:                      

 

2.      In what time frame would you like to be at your desired weight?                                                       

 

3.      Birth Weight:            Weight at 20 years of age:                     Weight one year ago:                           

 

4.      What is the main reason for your decision to lose weight?                                                                 


 

5.      When did you begin gaining excess weight? (Give reasons, if known):                                                

 

                                                                                                                                                           

 

6.   What has been your maximum lifetime weight (non-pregnant) and when?                                          

 

7.   Previous diets you have followed:                             Give dates and results of your weight loss:

 

                                                                                                                                                                                               

                                                                                                                                                           

 

8.      Is your spouse, fiancee or partner overweight?          Yes      No

 

9.   By how much is he or she overweight?                                                                                            

 

10.  How often do you eat out?                                                                                                             

 

11.  What restaurants do you frequent?                                                                                                  

 

12.  How often do you eat “fast foods?”                                                                                                

 

13.  Who plans meals?                                        Cooks?                                     Shops?                        

 

14.  Do you use a shopping list?              Yes      No

 

15.  What time of day and on what day do you shop for groceries?                                                          

 

16.  Food allergies:                                                                                                                                

 

17.  Food dislikes:                                                                                                                                 

 

18.  Food you crave:                                                                                                                             

 

19.  Any specific time of the day or month do you crave food?                                                                

 

20.  Do you drink coffee or tea? Yes      No    How much daily?                                                             

    

21.  Do you drink cola drinks?     Yes      No     How much daily?                                                             

 

22.  Do you drink alcohol?          Yes      No

 

      What?                                             How much?                                          Weekly?                     

 

23.  Do you use a sugar substitute?                      Butter?                         Margarine?                             

 

24.  Do you awaken hungry during the night?      Yes      No

 

      What do you do?                                                                                                                            


25.  What are your worst food habits?                                                                                                   

 

26.  Snack Habits:

 

      What?                                             How much?                                          When?                        

 

                                                                                                                                                           

 

27.  When you are under a stressful situation at work or family related, do you tend to eat more? Explain:

 

                                                                                                                                                           

 

                                                                                                                                                           

 

28.  Do you thing you are currently undergoing a stressful situation or an emotional upset? Explain:

 

                                                                                                                                                           

 

                                                                                                                                                           

 

29.  Smoking Habits: (answer only one)

 

             You have never smoked cigarettes, cigars or a pipe.

             You quit smoking           years ago and have not smoked since.

             You have quit smoking cigarettes at least one year ago and now smoke cigars or a pipe without

              inhaling smoke.

             You smoke 20 cigarettes per day (1 pack).

             You smoke 30 cigarettes per day (1-1/2 packs).

             You smoke 40 cigarettes per day (2 packs).

 

30.  Typical Breakfast                           Typical Lunch                           Typical Dinner

                                                                                                                                                             

                                                                                                                                                           

                                                                                                                                                           

                                                                                                                                                           

       Time eaten:                                    Time eaten:                               Time eaten:                              

       Where:                                          Where:                                                 Where:                                                

       With whom: ­                                  With whom:                              With whom:                             

 

31.  Describe your usual energy level:                                                                                                    

 

32.  Activity Level: (answer only one)

             Inactive¾no regular physical activity with a sit-down job.

             Light activity¾no organized physical activity during leisure time.

             Moderate activity¾occasionally involved in activities such as weekend golf, tennis, jogging,

              swimming or cycling.

             Heavy activity¾consistent lifting, stair climbing, heavy construction, etc., or regular participation in jogging, swimming, cycling or active sports at least three times per week..

             Vigorous activity¾participation in extensive physical exercise for at least 60 minutes per session 4 times per week.


 

33.  Behavior style: (answer only one)

             You are always calm and easygoing.

             You are usually calm and easygoing.

             You are sometimes calm with frequent impatience.

             You are seldom calm and persistently driving for advancement.

             You are never calm and have overwhelming ambition.

             You are hard-driving and can never relax.

 

34.  Please describe your general health goals and improvements you wish to make:                                 

 

                                                                                                                                                           

 

                                                                                                                                                           

 

                                                                                                                                                           

 

This information will assist us in assessing your particular problem areas and establishing your medical management. Thank you for your time and patience in completing this form.


Review of Systems

 

YES   NO

___    ___   Loss of hearing

___    ___   Ringing in the ears

___    ___   Ear infection

___    ___   Bad vision

___    ___   Eye pain

___    ___   Eye infections

___    ___   Nose bleeds

___    ___   Sinus problems

___    ___   Sore throat

___    ___   Hoarseness

___    ___   Shortness of breath

___    ___   Back pain

___    ___   Rash

___    ___   Insomnia

___    ___   Memory loss

___    ___   Dizzy spells

___    ___   Palpitations

___    ___   Irregular pulse

___    ___   Swelling

___    ___   Feinting spells

___    ___   Chest pain

___    ___   Numbness

___    ___   Loss of appetite

___    ___   Indigestion

___    ___   Diarrhea

___    ___   Constipation

___    ___   Bloody or tarry stools

___    ___   Nervousness

___    ___   Depression

___    ___   Moodiness

___    ___   Phobias

___    ___   Hemorrhoids

___    ___   Blood in urine

___    ___   Frequent urination

___    ___   Hernia

___    ___   Sudden weight loss

___    ___   Fatigue

___    ___   Convulsions

___    ___   Headache

___    ___   Joint pain


Patient Informed Consent for Appetite Suppressants

 

I. Procedure And Alternatives:

 

1. I,_______________________________________________ (patient or patient’s guardian) authorize Dr. George C. Stege III to assist me in my weight reduction efforts. I understand my treatment may involve, but not be limited to, the use of appetite suppressants for more than 12 weeks and when indicated in higher doses than the dose indicated in the appetite suppressant labeling.

 

2.  I have read and understand my doctor’s statements that follow:

 

“Medications, including the appetite suppressants, have labeling worked out between the makers of the medication and the Food and Drug Administration. This labeling contains, among other things, suggestions for using the medication. The appetite suppressant labeling suggestions are generally based on shorter term studies (up to 12 weeks) using the dosages indicated in the labeling.

 

“As a bariatric physician, I have found the appetite suppressants helpful for periods far in excess of 12 weeks, and at times in larger doses than those suggested in the labeling. As a physician, I am not required to use the medication as the labeling suggests, but I do use the labeling as a source of information along with my own experience, the experience of my colleagues, recent longer term studies and recommendations of university based investigators. Based on these, I have chosen, when indicated, to use the appetite suppressants for longer periods of time and at times, in increased doses.

 

“Such usage has not been as systematically studied as that suggested in the labeling and it is possible, as with most other medications, that there could be serious side effects (as noted below).

 

“As a bariatric physician, I believe the probability of such side effects is outweighed by the benefit of the appetite suppressant use for longer periods of time and when indicated in increased doses. However, you must decide if you are willing to accept the risks of side effects, even if they might be serious, for the possible help the appetite suppressants use in this manner may give.”

 

3.  I understand it is my responsibility to follow the instructions carefully and to report to the doctor treating me for my weight any significant medical problems that I think may be related to my weight control program as soon as reasonably possible.

 

4.  I understand the purpose of this treatment is to assist me in my desire to decrease my body weight and to maintain this weight loss. I understand my continuing to receive the appetite suppressant will be dependent on my progress in weight reduction and weight maintenance.

 

5.  I understand there are other ways and programs that can assist me in my desire to decrease my body weight and to maintain this weight loss. In particular, a balanced calorie counting program or an exchange eating program without the use of the appetite suppressant would likely prove successful if followed, even though I would probably be hungrier without the appetite suppressants.

 

II. Risks of Proposed Treatment:

      

      I understand this authorization is given with the knowledge that the use of the appetite suppressants for more than 12 weeks and in higher doses than the dose indicated in the labeling involves some risks and hazards. The more common include:  nervousness, sleeplessness, headaches, dry mouth, weakness, tiredness,
 psychological problems, medication allergies, high blood pressure, rapid heart beat and heart irregularities. Less common, but more serious, risks are primary pulmonary hypertension and valvular heart disease. These and other possible risks could, on occasion, be serious or fatal.

 

III. Risks Associated with Being Overweight or Obese:

 

        I am aware that there are certain risks associated with remaining overweight or obese. Among them are tendencies to high blood pressure, to diabetes, to heart attack and heart disease, and to arthritis of the joints, hips, knees and feet. I understand these risks may be modest if I am not very much overweight but that these risks can go up significantly the more overweight I am.

 

IV. No Guarantees:

 

       I understand that much of the success of the program will depend on my efforts and that there are no guarantees or assurances that the program will be successful. I also understand that I will have to continue watching my weight all of my life if I am to be successful.

 

V. Patient’s Consent:

 

       I have read and fully understand this consent form and I realize I should not sign this form if all items have not been explained, or any questions I have concerning them have not been answered to my complete satisfaction. I have been urged to take all the time I need in reading and understanding this form and in talking with my doctor regarding risks associated with the proposed treatment and regarding other treatments not involving the appetite suppressants.

 

WARNING

 

IF YOU HAVE ANY QUESTIONS AS TO THE RISKS OR HAZARDS OF THE PROPOSED TREATMENT, OR ANY QUESTIONS WHATSOEVER CONCERNING THE PROPOSED TREATMENT OR OTHER POSSIBLE TREATMENTS, ASK YOUR DOCTOR NOW BEFORE SIGNING THIS CONSENT FORM.

 

DATE:__________________________________    TIME:___________________________________

 

PATIENT:_________________________________WITNESS:_______________________________

                  (or person with authority to consent for patient)

 

VI. PHYSICIAN DECLARATION:

 

       I have explained the contents of this document to the patient and have answered all the patient’s related questions, and, to the best of my knowledge, I feel the patient has been adequately informed concerning the benefits and risks associated with the use of the appetite suppressants, the benefits and risks associated with alternative therapies and the risks of continuing in an overweight state. After being adequately informed, the patient has consented to therapy involving the appetite suppressants in the manner indicated above.

 

 

____________________________________________________

Physician’s Signature

      


Weight Loss Program Consent Form

 

 

I ______________________________________ authorize Dr. George C. Stege III, Family Care Group of Kentuckiana P.S.C. and whomever they designate as their assistants, to help me in my weight reduction efforts.  I understand that my program may consist of a balanced deficit diet, a regular exercise program, instruction in behavior modification techniques, and may involve the use of appetite suppressant medications. Other treatment options may include a very low calorie diet, or a protein supplemented diet. I further understand that if appetite suppressants are used, they may be used for durations exceeding those recommended in the medication package insert. It has been explained to me that these medications have been used safely and successfully in private medical practices as well as in academic centers for periods exceeding those recommended in the product literature.

 

I understand that any medical treatment may involve risks as well as the proposed benefits. I also understand that there are certain health risks associated with remaining overweight or obese. Risks of this program may include but are not limited to nervousness, sleeplessness, headaches, dry mouth, gastrointestinal disturbances, weakness, tiredness, psychological problems, high blood pressure, rapid heartbeat, and heart irregularities. These and other possible risks could, on occasion, be serious or even fatal.  Risks associated with remaining overweight are tendencies to high blood pressure, diabetes, heart attack and heart disease, arthritis of the joints including hips, knees, feet and back, sleep apnea, and sudden death. I understand that these risks may be modest if I am not significantly overweight, but will increase with additional weight gain.

 

I understand that much of the success of the program will depend on my efforts and that there are no guarantees or assurances that the program will be successful. I also understand that obesity may be a chronic, life-long condition that may require changes in eating habits and permanent changes in behavior to be treated successfully.

 

I have read and fully understand this consent form and I realize I should not sign this form if all items have not been explained to me. My questions have been answered to my complete satisfaction. I have been urged and have been given all the time I need to read and understand this form.

 

If you have any questions regarding the risks or hazards of the proposed treatment, or any questions whatsoever concerning the proposed treatment or other possible treatments, ask your doctor now before signing this consent form.

 

 

Date:                                                                           Time:                                                             

 

Witness:                                                                      Patient:                                                                                                                         

                                                                                                (Or person with authority to consent for patient)

 


 Welcome to our weight loss program! The program consists of three parts: diet, exercise, and medication.

 

Diet

We recommend a low fat reduced calorie diet.  We will provide you with additional information on a low fat diet, and the doctor will give you specific recommendations on how many fat grams you should eat each day. We do recommend three well balanced meals a day with no between meal snacking.

 

Exercise

We recommend aerobic exercise to help you lose weight.  We have free low impact aerobic classes as a service for our patients. We will provide a map to these classes. We recommend at least 30 minutes of aerobic exercise three times a week for cardiovascular fitness. If you are extremely overweight, water aerobics are another alternative.

 

Medication

Several types of appetite suppressants are available to assist you in losing weight. These medications will only suppress your appetite; to lose weight you must eat less. The doctor will prescribe the one that is most appropriate for you. We have additional information on the medications available on request.  The physician will answer any questions you have about the risk and benefits of using medication. In order to reach a healthy weight, it may be necessary to use medication in ‘off-label’ duration, indication, or combinations.

 

In order to ensure your safety in taking any medication, it is important that we obtain a complete medical history and perform a physical exam.  Some medical conditions such as high blood pressure or heart disease such as angina preclude the use of medication.  Also, if you have a history of drug or alcohol abuse it is not safe for you to take medication. If you are pregnant or think you may be pregnant you must not take any medication. You must also let us know if you are allergic to any medication. You must not exceed the prescribed dose of any medication. Doing so would put you at risk of heart attack, stroke, or death. You also should check with the office before taking any over the counter medicine with prescription medication. You must let us know if you are taking any prescription medicine from any other physicians. While participating in our diet program you must not see any other physician for similar medication as this may put you at risk for serious side effects or drug dependency and may be against the law. Also be aware that it is against the law to sell or give your medication to any other person. If you have taken any diet medication in the past you must also inform us of this.

 

To be eligible for medication you must be overweight.  Being significantly overweight increases your risk of many serious medical problems. The physician will calculate your ideal weight based on your height, your frame size, and your percentage of body fat. You must also have tried to lose weight on your own first. To continue medication you must lose weight.  If you experience any side effects or problems please call the office. Dry mouth, constipation, mild elevations of heart rate and slight nervousness are the most common side effects and are not of concern. Shortness of breath, chest pain, leg swelling, fainting spells, or elevated blood pressure should be reported immediately.

 

I have read all of the information above and agree to these terms.

 

 

_________________________________________________________ Date _____________________


NEW PATIENT MEDICAL INFORMATION

 

Date:____________________________________________

 

Name:______________________________________


Age:_______________________________________           

 

Do you have any medical problems?         ٱ High blood pressure

                                                                        ٱ Diabetes

                                                                        ٱ Asthma

                                                                                                                                                                                                                        ________________________________

 

                                                                        ________________________________

                       

________________________________

                       

 

Have you had any surgeries?                      ٱ Appendix

ٱ Gall Bladder

ٱ Hysterectomy

Are you allergic to any medicines? ٱ Penicillin

 

                                                                        ________________________________

 

Please list any medicines you take:            ________________________________

 

                                                                        ________________________________

                                                                       

Please list any hospitalizations:                  ________________________________

 

Do any diseases run in your family?           š  Diabetes

                                                                        š