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
July 20, 2017: Heather, our registered dietitian, will be reviewing Chapter 3: Nutrition of The Success Habits of Weight Loss Surgery Patients by Colleen Cook. Thursday July 20th from 5-6pm at our office.
For a free phone consultation,
please contact our office:

225·388·5380