• New Patient Information Packet: Please print form to fill out prior to your first visit

Weight Loss Surgery Forms

• Checklist for Weight Loss Surgery
  
• New Patient Weight Loss Surgery Packet: Please open and fill out prior to your first visit
  
• Weight Loss Surgery Template for Primary Care Physician
• Medical Clearance and follow-up from another physician
  
• Patient Letter of Understanding for Weight Loss Surgery
  
• Six month Physician Supervised Diet Template
  
• Post Op Surgery Information
  
  Nutritional and Psychological Evaluation information
  
• Nutritional information Packet
• How to eat after Gastric Bypass or Sleeve Gastrectomy
• How to eat after Gastric Band
  
  Directions to Trinity Bariatric and Weight Loss Center
  
  Weight Loss Surgery Consent Forms
  
• Gastric Band Consent Form
• Gastric Bypass Consent Form
• Gastric Sleeve Consent Form
  

All files must be opened using Adobe Reader to download Adobe Reader visit www.adobe.com