BODY COMPOSITION REFERRAL

Phone (03) 9700 7666

Fax (03) 9700 5952

Indication (please indicate one or several) *

Assess fat and lean mass changes in an obese patient who has undergone a medical diet or weight loss regimen resulting in weight loss exceeding approximately 10%Assess fat and lean mass changes in an obese patient who has undergone bariatric surgeryClinically manage a patient with true muscle weakness or poor physical functioning due to injury or medial conditionAssess fat distribution in a patient undergoing anti-retroviral therapy associated with a risk of lipoatrophy

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Medical PractitionerPhysiotherapistExercise PhysiologistDietician

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Phone (03) 9700 7666

Fax (03) 9700 5952