Owensboro Health Surgical Weight Loss Center
                           My Weight Loss Journey Appointments 
                    Appointments     Provider      Date        Time          Completed 
                    (in SWLC office)                         (arrive 15 min 
                                                                early) 
                    Intro to        Dietitian 
                    nutrition 
                    (60 min) 
                    6-week or 3-    Physicians 
                    month Follow
                    Up (“Before”     Assistant
                    photos taken)
                    Psychological  Psychologist
                    Evaluation 
                    Gastric         Dietitian 
                    Bypass or 
                    Gastric Sleeve 
                    Class (120 min) 
                    One-on-one      Dietitian 
                    Dietary 
                    Evaluation 
                    (60 min) 
                    Pre-op          Surgeon
                    Appointment 
                    Pre-op           Nurse 
                    Teaching 
                    Class (120 min) 
                              OwensboroHealth.org/BestSelf • (270) 688-1500               1
               Owensboro Health Surgical Weight Loss Center
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                                 Owensboro Health Surgical Weight Loss Center
                             Surgery Clearance Appointments
                    Appointments     Provider/     Date       Time       Completed 
                                      location 
                  Fasting Tests: 
                  Blood work, 
                  Chest X-ray, EKG, 
                  UGI (Upper GI) 
                  Upper Endoscopy    Owensboro 
                  (EGD)                Health 
                  (You will need a    Regional 
                  driver)             Hospital 
                  Cardiology 
                  Pulmonology 
                  (if needed) 
                  Attend Support 
                  Group (1 Minimum) 
                        Physician-Supervised Weight-Loss Trial 
                 Please note: These monthly appointments must be no less that 28 days and no more than 35 days apart. 
                  With your Primary     Date            Time            Completed 
                   Care Physician 
                  (based on insurance 
                      coverage) 
                      Month 1 
                      Month 2 
                      Month 3 
                      Month 4 
                      Month 5 
                      Month 6 
                                OwensboroHealth.org/BestSelf • (270) 688-1500             3
               Owensboro Health Surgical Weight Loss Center
       4       OwensboroHealth.org/BestSelf • (270) 688-1500