BMI & Body Composition Form
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BMI & Body Composition Form
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The BMI & Body Composition Form provides a streamlined tool for recording anthropometric measurements and calculating body mass index as part of routine health screening and weight management programs. It captures weight, height, BMI calculation with WHO classification category, waist circumference, hip circumference, waist-to-hip ratio, and optional body fat percentage measurements. These combined metrics offer a more complete picture of body composition than BMI alone.
The form is designed for serial tracking, making it easy to document measurements across multiple visits and observe trends over time. It includes fields for recording patient weight goals, current physical activity levels, and relevant comorbidities associated with elevated BMI such as hypertension, type 2 diabetes, and obstructive sleep apnea. A notes section allows providers to document counseling provided and referrals to dietitians or weight management programs.
Used across primary care practices, endocrinology clinics, bariatric surgery programs, wellness centers, and corporate health programs, this form supports obesity screening as recommended by the USPSTF. It is also appropriate for pediatric growth monitoring when combined with age- and sex-specific BMI percentile charts, and for pre-surgical clearance documentation where BMI thresholds affect eligibility.
What's included
- Weight and height measurement with BMI clinician-completed calculation
- WHO BMI classification (underweight, normal, overweight, obese)
- Waist circumference and waist-to-hip ratio fields
- Body fat percentage and body composition tracking
- Physical activity level and weight goal documentation
- Comorbidity association and counseling documentation
Who uses this template
- Routine obesity screening at annual primary care visits
- Weight management program intake and progress tracking
- Bariatric surgery pre-operative eligibility documentation
- Corporate wellness and employee health screening programs
All form fields
10 fields across 1 page. Customize any field after signing up.
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