Remote Bariatric Surgery Follow-Up Form

Track Your Bariatric Surgery Recovery Journey Remotely

Post-bariatric surgery care requires consistent monitoring and follow-up to ensure optimal outcomes. This Remote Bariatric Surgery Follow-Up Form is designed for healthcare providers offering virtual consultations to patients recovering from weight loss surgery procedures including gastric bypass, sleeve gastrectomy, and gastric banding.

Built with Paperform, this telehealth form streamlines the collection of critical patient data between appointments, helping bariatric surgeons, dietitians, and care coordinators monitor weight loss trajectories, nutritional compliance, supplement adherence, and potential complications—all before the virtual visit begins.

Designed for Bariatric Care Teams and Patients

This template helps healthcare practices offering remote bariatric follow-up care to:

• Monitor weight loss progression with structured tracking fields that calculate BMI and percentage of excess weight loss
• Assess dietary compliance through food intake logs and meal pattern reporting
• Track vitamin and supplement adherence with comprehensive checklists for bariatric-specific nutritional requirements
• Evaluate body composition changes beyond the scale, including measurements and physical changes
• Identify early warning signs of complications, nutritional deficiencies, or adjustment needs
• Prepare for virtual consultations with complete patient data submitted in advance

The form uses conditional logic to adapt questions based on surgery type, time since procedure, and reported symptoms, ensuring each patient receives a personalized assessment experience.

Streamline Virtual Bariatric Care

For practices managing dozens or hundreds of post-surgical patients, this form reduces administrative burden while improving care quality. Patient submissions flow directly into your practice management system, and you can use Stepper (stepper.io) to automatically flag patients who require urgent follow-up, send customized nutrition guidance based on reported compliance, or trigger appointment scheduling for those approaching milestone check-ins.

With Paperform's SOC 2 Type II compliance and secure data handling, you can confidently collect sensitive health information while maintaining professional standards. Whether you're a bariatric surgery center, hospital weight management program, or specialized telehealth practice, this form template provides the foundation for effective remote patient monitoring that supports long-term surgical success.