Home : Clinics : Weight Loss Surgery Center : Information & Forms

Below are important PDF documents talked about on this web site. Click to download, view and print.

Introductory Forms
Patient Workbook

Weight Loss Surgery Questionnaire

Surgery Preparation
Preoperative Requirements*

Preoperative Laboratory Request

Final Preoperative Instructions

Adjustable Band Bowel Preparation

Gastric Bypass and DS Bowel Preparation

Insurance Information
Understanding Your Insurance Coverage

Consultation Requests
Cardiology Clearance Letter*

Primary Care Provider Letter*

Pulmonary Clearance Letter*

Psychology Evaluation Request Letter*

Dietary Guidebook
Laparoscopic Gastric Bypass

Laparoscopic Adjustable Band

Laparoscopic Duodenal Switch

Dr. Buchwald Gastric Bypass/VBG

Additional Dietary Resources
Food Log

Grocery List

Protein Sources

Post Gastric Bypass Hypoglycemia Diet

Postoperative Forms
Annual Lab Tests for RYGB

Band Assessment Clinic Form

General Surgery - (Non-Bariatric)
General Surgery Questionnaire

*Documents marked with an asterisk are also found in the Patient Workbook.