Patient Information & Forms
Bariatrics Patient Survey—Weight-loss
surgery can change your health, and your life. If you are interested
in more information about surgery and learning if you qualify for the procedure,
please fill out the questionnaire attached and submit it based on the instructions.
Bariatrics Patient Packet—Once
you are considered a potential candidate for surgery, you will be asked
to fill out this Bariatrics Patient Packet. Please download the form
and complete the form prior to your first visit with West Florida Weight
Loss.
Gastric Bypass Instructions / Consent Form—Prior
to having Gastric Bypass Surgery you will asked to read the attached consent
form and sign the document as to your understanding of the procedure that is
being performed. This form may be download here. This form includes
information about the operation, Expected Outcomes & Patient Commitments,
Diet, Risk of Operation, Other Undesirable Outcomes, Fees, and a Summary.
Lap-Band Instructions / Consent Form—Prior
to having Lap-Band Surgery you will asked to read the attached consent form
and sign the document as to your understanding of the procedure that is being
performed. This form may be download here. This form includes information
about the operation, Expected Outcomes & Patient Commitments, Diet, Risk
of Operation, Other Undesirable Outcomes, Fees, and a Summary.