Forms

Welcome to the online registration application for bariatric patients. Feel free to contact us if you need any assistance registering or completing the forms.

All information gathered on these forms is submitted using data encryption in compliance with HIPAA regulations. Your information will never be shared, sold, or disseminated in any manner other than directly to your physician and his/her staff.

 
Get Registered
Click this button if you are a first-time visitor.
Client Log In
Click this button if you have already registered on our
web site.

Intake Forms
Click this button to fill out these forms so we can help determine if you qualify for the surgical procedure you
have choosen.
GB Resource Center
Discover valuable facts and concerns that are often asked by many potential weight loss surgery candidates. Learn more
Upcoming Events
 
______________________ SUPPORT GROUP MEETS: Third Thursday of the Month - 5pm – 6pm
May 18th - TBD by Christyl and Tracy
June 15th – Vitamins and Nutrition
For a free phone consultation,
please contact our office:

225·388·5380