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Bariatric seminar registration

Online bariatric seminar

Please register by filling out the form below. Once complete, you will be able to view the online bariatric seminar, “Surgical solutions for obesity".

This seminar will explain:

  • Why an individual should consider having bariatric surgery.
  • If you are a candidate for bariatric surgery.
  • The different types of bariatric surgery.
  • The risks and benefits of bariatric surgery.
  • What steps need to be taken post-surgery.


Patient Information
Last Name:*
First Name:*
Date of Birth:*
Height*:
feet inches
Weight*:
pounds
Gender*

Contact Information
Address:*
City:*
State:*
 
Zip Code:*
Email:*
Preferred Phone:*
Additional Information
Insurance:*
Perferred location:*
Procedure:*

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