Cards to Help Fat Patients at the Doctor’s Office – English, French, and German Versions

Doctors telling fat patientsI originally created these cards as part of a post about what to say at the doctor’s office to help get the appropriate evidence-based care you should be getting in the first place from doctors and other healthcare professionals. They have been shared around a lot, and I love hearing from people about how they used them and how much they helped (even though they shouldn’t be necessary to begin with, but that’s a subject for another post!) If you’re looking for a little more support, I have a video workshop specifically about techniques for Dealing with Fatphobia at the Doctor’s Office, there’s a pay-what-you-can option and you can find it here!

Then recently Marilou Morin contacted me and asked if she could translate them into French. Of course I immediately said yes. So below you’ll find the English and French versions. These cards are intended to be helpful, but are not for every situation (and if you are looking for one link to give to your healthcare provider, I recommend this one) I’m not a doctor and this isn’t medical advice, just what has helped me to get appropriate healthcare as a fat patient. You’ll also need to use your own judgment as to whether you want to hand the cards to your healthcare provider, or just use the information from them to talk to your healthcare provider.

Update: I was contacted by Dorothée at @largerliving and Christina from Munich who has done the German translation!

A reminder that nobody is obligated to engage in activism at any time, but especially at the doctor’s office where there can be an extreme power imbalance. While medical fatphobia becomes our problem, it is not our fault – the problem is not fat people existing, it’s healthcare providers who are working from a place of weight stigma. While there are clear arguments whenever a healthcare provider says that a health issue is caused by being fat. you can also do what you have to do to get the healthcare you need.

You might also want to check out the HAES Health Sheets, which include diagnosis-specific weight neutral practice guides for practitioners, patients, and advocates as well as a resource bank. 

Postcard - Doctor Front
Doctor Front


Postcard - Doctor Back
Doctor Back


Postcard - Personal Front
Personal Front


Postcard - Personal Back
Personal Back


French Translation 

Doctor Postcard Personal French
Doctor Front – French


Doctor Postcard Personal French-2
Doctor Back  – French


Doctor Postcard Doctor French
Personal Front – French


Doctor Postcard Doctor French-2
Personal Back – French

German translation from @LargerLiving

German Translation from Christina in Munich:
Quelle: Ragen Chastain:

Hilfreiche Formulierungen beim Arzttermin

  • Zeigen Sie mir bitte eine Studie, in der die Mehrheit der Probanden erfolgreich so viel abgenommen hat, wie Sie mir vorschlagen.
  • Bekommen schlanke Leute dieses Gesundheitsproblem? Was würden Sie in so einem Fall empfehlen?
  • Chirurgie wie z.B. die Magenverkleinerung ist keine Option wegen der niedrigen Erfolgsrate und der ernsthaften, irreversiblen Nebenwirkungen (einschließlich Tod).
  • Die Studien, die ich gelesen habe, zeigen, dass die überwiegende Mehrzahl der Menschen beim Versuch abzunehmen scheitert. Viele davon nehmen langfristig sogar zu.
  • Bitte bieten Sie mir evidenzbasierten Medizin an und die Möglichkeit für informierte Zustimmung.
  • Stigmatisierung ist schlecht für meine Gesundheit. Ich würde Sie bitten mir zu helfen und nicht zu schaden und mich ohne Stigmatisierung zu behandeln. *
  • In unserer begrenzten Zeit würde ich mich gerne auf X konzentrieren.
  • Im englischen ist das „First do no harm“ die allgemein bekannte Eingangsformulierung des hippokratischen Eids, also die ganz große Keule. Im deutschen fällt mir keine griffige Formulierung ein, die nicht absolut furchtbar klingt. (Ich möchte Sie an den hippokratischen Eid erinnern, mir nicht zu schaden?)

Hilfreiche Quellen für den Arzttermin

Dickenstigmatisierung und Gesundheit

(Mangelnde) Erfolgsrate beim Abnehmen

Probleme mit der Forschung zur Gewichtsabnahme

Erfolg von „Health at every Size“

Gefahren der Magenverkleinerung

Ich praktiziere Health at every Size

HAES ist eine evidenzbasierte Denkrichtung, bei der der Fokus auf Gesundheit und gesunde Lebensgewohnheiten gelegt wird, statt auf Gewicht und Abnehmen.

Damit wir im Interesse meiner Gesundheit möglichst gut zusammenarbeiten:

  • Verschreiben Sie mir bitte nicht „Gewichtsabnahme“ als Behandlung
  • Wiegen Sie mich bitte nicht, solange es nicht medizinisch notwendig ist (z.B. für die Dosierung gewichtsabhängiger Medikamente) und teilen Sie mir das Gewicht nicht mit, es sei denn ich frage danach
  • Ziehen Sie bitte in Betracht mir die gleiche Behandlung zu verschreiben wie einer schlanken Person mit dem gleichen Gesundheitsproblem
  • Behandeln Sie mich bitte evidenzbasiert und geben Sie mir die Möglichkeit informierte Entscheidungen zu treffen
  • Bieten Sie mir bitte eine nicht-stigmatisierende Behandlung an.Vielen Dank


Fast alle Abnehmenden haben das Gewicht wieder zugenommen, meistens mehr als das Ausgangsgewicht

Die existierende Datengrundlage zeigt fast ausschließliche Rückfälle nach 3-5 Jahren

HAES resultierte in verbesserten Markern für Gesundheit

Fitness verringert allgemein das Mortalitätsrisiko

Gesunde Lebensgewohnheiten sind mit signifikanten Verringerungen der Mortalität verknüpft, egal  bei welchem BMI

Was this post helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

Need some fat-positive end-of-year cheer? Here’s a playlist of re-vamped holiday songs that highlight things like the importance of fat-friendly seating, singing the praises of our amazing bodies, and just saying no to giving unsolicited weight-loss gifts. Enjoy!

Like this blog?  Here’s more cool stuff:

Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00
($79.00 for DancesWithFat members – register on the member page)

Wellness for All Bodies ProgramA simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!
Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Non-Members click here for all the details and to register!

Book and Dance Class Sale!  I’m on a journey to complete an IRON-distance triathlon, and I’m having a sale on all my books, DVDs, and digital downloads to help pay for it. You get books and dance classes, I get spandex clothes and bike parts. Everybody wins! If you want, you can check it out here!  (DancesWithFat Members get an even better deal, make sure to make your purchases from the Members Page!)

Book Me!  I’d love to speak to your organization. You can get more information here or just e-mail me at ragen at danceswithfat dot org!

I’m (still!) training for an Iron-distance triathlon! You can follow my journey at .

If you are uncomfortable with my offering things for sale on this site, you are invited to check out this post.

5 thoughts on “Cards to Help Fat Patients at the Doctor’s Office – English, French, and German Versions

  1. Excellent. Most should work, depending on the entrenched position of the doctor in question and how quickly they can come up with legitimate responses to factual rejoinders.

    In the limited amount of time we have….”

    Winner winner, that!

  2. OMG, just discovered your blog through Sally Cronin’s “Smorgasbord Daily.” I recently got a cut my leg and the cut got infected. My regular doctor wasn’t available, so I had to go to another. Her first suggestion: weight loss surgery! For an infected cut on my leg. Yup. Because thin people never get cuts on their legs. I needed this card.

      1. WAY! I read that and had to read it to my Mom. OMG! Is right. Infected cut, I’m sure in medical year one text book; cure by offering invasive, dangerous weight loss/nutrient denying surgery! THESE PEOPLE DO NOT HAVE OUR BEST INTERESTS AT HEART.

        And you can’t educate bigotry away in all cases! Clearly. Then again, what other path of higher education has such a biased focus on fixing fat people? Gym Teachers, doctors, nurses…

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.