To ensure optimal care, please send all referral documents to: ovivamed@hin.ch
Include the following details:
1. Patient Information
Full name
Date of birth
Email address
Mobile number
Health insurance provider (basic insurance)
2. Clinical Information
Medical history
Past weight loss treatments
Assessment of suitability for telemedicine
3. Diagnostic Documentation
Complete list of diagnoses
Vital signs: heart rate, blood pressure, height, waist circumference, weight, BMI
Current medication list
Known allergies or intolerances
Physical examination (not older than 3 months)
Recent lab results (not older than 3 months):
CBC, CRP, lipid profile, Na, K, creatinine, albumin, GGT, ALT, AST, HbA1c, urinalysis, TSH