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Outpatient Wellness
Outpatient Nutrition Referrals and Classes
Healthcare providers may place a referral for outpatient nutrition services in AHLTA. Referrals for group session must be for the following conditions: Prediabetes, Diabetes, Bariatric Surgery, Kidney Disease, Weight Loss, and HIV. Patients with any other diet-related condition may schedule an individual appointment with a consult. Initial appointments are booked through the Central Appointment Management Office in accordance with clinic booking guidance. All patients must have a consult that specifies the condition and reason for nutritional therapy by a Registerd Dietitian.
Group sessions offered every month by the Nutrition Clinic dietitians consist of the following:
| Group Sessions: | Consult: |
|---|---|
| Diabetes Management (3-part session) | Diabetes Clinic |
| Pre-Diabetes Management | Diabetes Clinic |
| Bariatric Diet and Weight Loss | Bariatric Clinic |
| Kidney Disease Nutrition Management | Renal Clinic |
| Civilian Weight Loss Class: "Weigh for Health" | Cardiology Clinic |
| ArmyMOVE! 2-part Session for weight control (active duty personnel only) | Nutrition Clinic |
| HIV Nutrition | HIV Clinic |
Patients are encouraged to schedule follow-up individual appointments with dietitians after attending any group session. For questions, call the Nutrition Clinic at 916-7261.
Army Weight Control Program (AWCP)
Service Members who exceed the Army’s height/weight standards and incur a "flag" on their records must be referred to the Army Weight Control Program (AWCP). Per AR-600-9, both the Service Member and unit must follow the steps below to ensure that active service members eventually meet height-weight standards. The steps are as follows:
- The Service Member is counseled to notify him or her of the AWCP per the AWCP Notification Letter. Provide the Soldier with the 6 memoranda of endorsement.
- The Service Member signs the 1st Endorsement acknowledging that a loss of 3-8 pounds per consecutive month over 6 months defines good standing.
- The 2nd Endorsement notifies the Service Member to report to the primary care manager (PCM) to assess for a medical condition that may cause weight gain. This may be done through normal sick-call procedures.
- The PCM identifies on the 3rd Endorsement if the Service Member has a medical condition that may cause weight gain despite the Soldier's efforts to maintain weight standards. The PCM signs the memorandum for the Soldier to submit to the unit commander.
- The PCM orders a consult for an appointment with a Registered Dietitian at a BAMC facility if a medical condition exists. If no medical condition has been found, then the consult should specify enrollment in the AWCP weight management classes (ArmyMOVE) for active duty personnel.
- The ArmyMOVE two-part weight management classes are for active duty Service Members and taught at the Ft. Sam Houston Clinic over two separate group appointments.
- The 4th Endorsement notifies the Service Member of the obligation to attend weight management classes for diet and exercise guidelines that promote weight loss safely until the Service Member meets service branch height/weight standards.
- The 5th Endorsement is signed by the Registered Dietitian confirming the Service Member's completion of instruction to promote weight loss with diet and exercise.
- The 6th Endorsement documents the lifting of the flag when the Service Member falls within the Army height-weight standards, and is forwarded to the Military Personnel Officer to remain in the Soldier's record for 36 months.
Community Services for Fort Sam Houston
The Department of Nutritional Medicine (DNM) Office of Community Nutrition provides dietitian support for nutrition outreach programs on post and in the surrounding area. Additionally, the community dietitian provides nutrition information at post health fairs, as well as nutritional education for all military unit personnel and civilians employed by post organizations. Instruction topics may include wellness, sports nutrition and weight management.
The DNM community dietitian reviews and approves all menus to ensure that the Slagel, Rocco, MET-C and Camp Bullis dining facilities follow the Army's Go For Green menu standards and support the Soldier Fueling Initiative. The dietitian also attends all quarterly menu board meetings to network with foodservice managers and unit commanders in attendance.
All post installation childcare facility menus are submitted to the community dietitian to ensure compliance with USDA nutrition standards for optimal childhood nutrition. The dietitian provides bi-monthly in-service training for childcare custodians, and Child Youth Center food handlers on food safety and kitchen sanitation.
Please call 210-808-2448 or 210-916-2432 to arrange community dietitian support for:
- Unit training
- BAMC provider resiliency
- Post civilian employee instruction
- Health fairs
- Childcare providers
- Installation food-handlers