Here is a copy of what I sent to the Surgeon. It is actually an outline given by their office at the information sessions.
August 4, 2010
To Whom It May Concern:
This Letter is a formal request for approval for Bariatric Sleeve Gastrectomy, for my patient _____________D.O.B______.
__________ is 5?5? and weighs 252 pounds. Her body mass index (BMI) is 41.9. She has been diagnosed with morbid obesity (CPT code: 278.01), since ____. She is having significant adverse symptoms as a result of her obesity. She is having difficulty standing and exercising due to the significant impact of the excess weight on her body. She has difficulty performing any daily activities and in participating with her friends and family in recreational activities.
She has been diagnosed with ____________________. The effects of these conditions are severe, and can be life threatening. Co-morbidities have proven to be expensive to treat and sometimes incurable. Research has shown that weight loss is not only cost effective for the insurers, but for the patients as well.
_________________ has made numerous weight loss attempts, including:
South Beach Diet
Weight Watchers
Curves
Transformations medical weight loss
Michael Thurmond
Certified nutritionist consultations
Based on ____________?s medical history, it is highly recommended she undergo bariatric surgery. In my professional opinion, it is the only way to improve her health conditions and significantly improve her lifestyle. If you have any questions or concerns, please do not hesitate to contact our office.
Sincerely,
MD
P.S. I was approved in less than a week.
Hope this helps,
Tracey