Cardiometabolic Follow-up – Andrew Appleton MD

Cardiometabolic Patient Follow-up Survey

Providing updated information ahead of your appointment helps us make the best use of our time in clinic or virtual visit.

Name(Required)

First Last

Email(Required)

Current weight in POUNDS(Required)

Neck circumference in CM(Required)

Waist circumference in CM(Required)

Hip circumference in CM(Required)

Please provide an updated blood pressure

Use format 120/80

Please tell us how your health has improved since your last visit.(Required)

Please tell us what aspect(s) of your health remain most challenging.(Required)

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