New Patient Forms

For your convenience, the following patient forms have been made available online. You can download the forms and print them so you can answer them in the comfort of your own home. Be sure to answer them completely and submit them to us when you come for your first appointment.

• Bariatric Checklist Sheet
• Health History
• Lap-band Patient Education Pre-Op Questionaire
• Lap-band Patient True-False Quiz
• Lap-band Patient Information Profile Questionaire

If you have any problems downloading the forms, you may call us at 467-3037, or 467-3000 and 467-3967 and we will gladly fax the form to you.