Preparing for my first consultation

This sheet is optional. You can fill in only the sections that are useful to you and bring it to your appointment. A few notes are enough.

To bring, if you have them

• your health insurance card;
• the list of your medicines and supplements, with the doses;
• your recent test results and reports (blood tests, medical reports);
• your doctor’s referral letter, if you have one;
• if you have already had surgery: the operation report.

The history of my weight

A few details are enough, even approximate ones.

• My weight and height today:
• My highest weight as an adult, and when:
• Periods when my weight changed a lot (pregnancy, illness, medicine, life event):

Care I have already had

If possible, note the periods and how long they lasted.

	When, for how long	What I took away from it
Dietary follow-up
Supervised physical activity
Psychological follow-up
Medicine (which one)
Surgery (which, where)
Other

My health today

Tick what you would like to discuss:

• the conditions I am being treated or monitored for;
• my sleep: snoring, pauses in breathing, daytime tiredness;
• any pain, and what limits me in daily life;
• my mood and my relationship with food;
• plans to become pregnant;
• my smoking and alcohol use.

What I expect from this appointment

My questions

After the consultation

At the end of this first meeting, we discuss the next steps with you and the options suited to your situation. You can ask your questions and take time to think things over.

Centre contact details

• Telephone+41 22 990 33 11
• Emailcentre@obesite.ch
• AddressChemin de Monastier 15
  Le Corjon building, 3rd floor
  1260 Nyon · Switzerland