Downloadable Forms for Weight Loss Surgery
|Notice of Privacy Practices||Southwest Bariatric Surgeons, PLLC Notice of Privacy Practices|
|Diet History Grid||Grid your primary care physician can complete to help meet your insurance company's physician-supervised diet requirements|
|Medical Release Request||Medical records release form|
Would you like to schedule a New Patient appointment?
Please click here to attend a live or online weight loss surgery seminar.
You'll receive New Patient forms at the live seminar or be able to download them on the online seminar page. (On the online seminar page, click the "Becoming a Patient" link.)