This page is for Clinic Staff to assist in providing Lifestyle Medicine patients the optimal experience.
For Dr. Drozek
Guidelines for Referrals for clinic staff
Recipes for Shared Medical Appointments
Recipe schedule template
Patient Forms
To be completed at first appointment. Please have patient complete this before doing the intake. Take the form to the provider for review while the patient is having intake.
To be completed by the patient on the day of the appointment BEFORE being brought back for vitals! Give this to the provider for review while the patient is being prepped for visit.
Driving Directions to the Classes
Info Packs
First Session Packs
Subsequent Sessions
- SMA Classes
- Fiber
- Blue Zones
- Fine Tuning
- Physical Activity
- Labels
- Success Away from Home
- Stress
- Sleep
- Community
- Individual Patients
- Blue Zones
- Fine Tuning
- Physical Activity
- Labels
- Success Away from Home
- Stress
- Sleep
Provider Forms
(will be printed and utilized by Dr. Drozek)
For Individual Appointments
To be scanned in as a progress note after an individual encounter.
Maintained by the provider for individual patients to remind what educational resources have been utilized, and should be scanned in after each encounter.
Consents (for Dr. Drozek’s studies)
To be signed before the first shared medical appointment encounter.
In new individual patient pack
To be emailed to virtual patients
MHS Authorization for LMP study
In new individual patient pack, and to be emailed to virtual patients.
Assessment Tools
Are you ready for health?
Lifestyle Medicine
at
Memorial Health System
Email: ddrozek@mhsystem.org
Office: 740-592-4229
FAX: 740-592-4010