Program Overview

    What to Expect at Your First Visit

    We look forward to helping you and your child achieve and maintain a healthy lifestyle. To be sure you and your family get the most benefit from your visit, we recommend:

    • Scheduling an appointment that is convenient for you and your child. If unable to attend the appointment please call and reschedule.
    • Allowing plenty of time for your appointment. New appointments take approximately 1 1/2 - 2 hours.
    • Writing down any questions or concerns you may have for the Physician or APRN. We will be happy to address them during your visit.

    The first appointment consists of the new patient and caregiver being triaged and meeting with our doctor/advanced practice registered nurse (APRN). It is possible that your child may see a Registered Dietitian, Physical Therapist, and/or Psychologist, if necessary*.

    The doctor/APRN will perform the following:

    • Review all referral materials, including lab results
    • History and Physical exam
    • Prescribe the best treatment track for new patient and parent/caregiver
    • Determine if your child needs to see our Registered Dietitian, Physical Therapist, and/or Psychologist.
    • Make referrals to other subspecialties (as needed)

    Follow-up Visits*

    After the initial visit with the C.O.A.C.H. physician or APRN, your child will have 4 follow-up visits (at minimum) with our Registered Dietitian, Physical Therapy, and Psychology services.

    • The Registered Dietitian will review what the patient and family/caregiver eats and drinks and help identify new ways to make small changes to become healthier.
    • The Physical Therapist will review physical activity and help identify ideas for exercise that will be fun for the patient and caregiver.
    • The Psychologist will review behaviors and help establish healthy lifestyle goals. They will help you understand factors that get in the way of being healthy.

    Bariatric Surgery

    Bariatric surgery may be an option for some children who have not been able to maintain weight loss and control their health with diet and exercise alone. To be considered for weight loss surgery, the child must be:

    • between the ages of 14-18
    • have a BMI >40
    • BMI >35 with medical problems
    • highly motivated to make changes and have a good family support
    • complete the 6 visit C.O.A.C.H. program.

    A multidisciplinary team will make recommendations at the end of six months visit. For more information, please call 501-364-5958.