|
Weight Loss SmartSite TMInformation To Help You Make Smart Decisions 
Considering Weight Loss Surgery?Take the Weight Loss Surgery Assessment to determine if surgery is right for you. 
Want to Change Your Lifestyle?Take the Eating Behavior Assessment to understand healthy food choices 
Struggling with your weight?Take the Weight Loss Status Assessment to determine your next steps |
|
|
|
 | |
To remove information previously entered, Delete Current Profile
| |
|  |
|
Welcome To The Weight-loss Surgery Decision Aid Choosing to have weight-loss surgery is a decision that only you can make. But before deciding, it is important to: - Understand why weight-loss surgery is done
- Know about the different surgeries and their risks
- Think about your hopes and expectations, and then find out whether they are realistic
- Learn about choosing the right doctor and hospital for surgery
This Decision Aid will lead you through six steps, or sections. Some of these steps will begin with a few questions. You can then read and learn about weight-loss surgery and if it is right for you, based on the answers you gave. At the end of each section there is a list of questions you may want to ask your doctor.
You may print out your personal report and bring it to your health care provider, if you wish.
| 
 |
This tool is intended for informational purposes only, it does not provide medical advice and should not be used in emergency situations. If you think you have a medical emergency, immediately contact your doctor, our hospital or call 911.
Welcome To The Weight Status Assessment
Want to know more about your weight and what steps you can take to get healthier.
Then take just 3 minutes to answer a few questions. At the end, you will receive a personal profile about your weight status and how you can begin to make healthy lifestyle choices.
| 
|
This tool is intended for informational purposes only, it does not provide medical advice and should not be used in emergency situations. If you think you have a medical emergency, immediately contact your doctor, our hospital or call 911.
Welcome To The Eating Behaviors Assessment
Want to learn more about your diet, eating behaviors, and activity level, and what steps you can take to get healthier?
Then take the next 5 minutes to answer the following questions.
| 
|
This tool is intended for informational purposes only, it does not provide medical advice and should not be used in emergency situations. If you think you have a medical emergency, immediately contact your doctor, our hospital or call 911.
Your Personal Health Information
Disclaimer:
I understand that I am voluntarily submitting personal information that relates to my health status. This information is not intended to be used for providing healthcare services or for the payment for any past, present or future healthcare services. I understand that by voluntarily submitting the data electronically, the data may be accessed, used or disclosed by a third-party. By submitting this data, I waive any rights to privacy, security or confidentiality of such data provided by state or federal laws.
Authorization:
Through my electronic submission, I hereby submit and authorize the release of the personally identifiable health information requested by the electronic surveys and data contained within the A.D.A.M.’s SmartSites™ “Program”, to A.D.A.M. Inc. I hereby authorize the disclosure of my individually identifiable health information for the purposes of performing a health assessment and for the purposes of Program. The personal health information may be used or disclosed by Program and its administrators for business management and operations. I understand that A.D.A.M. Inc. is not a healthcare provider and this Program will not condition my ability to obtain treatment, payment for healthcare services or eligibility for enrollment for health benefits. I also acknowledge and agree that by submitting such information I understand that I am waiving any confidentiality, privacy or security protections provided by State and federal laws and the information may be subject to re-disclosure. I also understand that I may revoke this authorization by submitting a written revocation statement to HIPAA@adamcorp.com to cease the further use or disclosure of the personally identifiable health information. A.D.A.M. Inc. and its users may rely upon this authorization to use and disclose the submitted information prior to receipt of the written revocation notice. This authorization shall be effective on the date the information is submitted and valid for the term that this Program is available for use or for the time period permitted by state law, whichever is longer.
Confirmation
Click start button to start new assessment or click resume button to continue with your previously closed assessment.
