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WEIGHT LOSS SURGERY FORMS

 

NEW PATIENT  (please bring the top three completed forms to your first appointment)

You can save about 20 minutes of your time at the doctor’s office by downloading the New Patient Forms and completing them prior to coming for your appointment. Some first visits with the surgeon can take as long as an hour. Please reserve about one and a half to two hours of your time for your first appointment.

WEIGHT LOSS SURGERY CONSULTATION

PREPARING FOR WEIGHT LOSS SURGERY(please start reading and preparing for surgery)

Now that you are going ahead with weight loss surgery you will need to start getting ready for the actual day of your surgery. While completing your medical work-up and insurance requirements start reading the information forms below.

  1. Preparatory Surgery Guide 

  2. Home medications and weight loss surgery 

  3. Preparatory Checklist 

  4. Diet Guides

PRE-OPERATIVE INSTRUCTIONS

Now that you have a surgery date, please read the forms listed below to be ready for your day of surgery.

  • Quit Smoking 

    1. Liver Shrinking Diet (10 Day liquid Diet -if BMI > 40) 

    2. Pre-Operative Check List 

    3. Home Medication Form(please complete if meds have changed) 

POST-OPERATIVE INSTRUCTIONS

Below are forms that you will need for a smooth recovery and success with your weight loss operation:

  • Safe use of Pain Meds 

    1. Discharge Instructions

      • Lap-band 

      • All other (sleeve, bypass, DS) 

    2. Follow-up Schedule

      • Lap-band 

      • All other (sleeve, bypass, DS) 

    3. Immediate Post-Op Diet 

      • Lap-band 

      • All other (sleeve, bypass, DS) 

    4. Journal 

    5. WLS path to home guide