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Contact Us

 

To find out if you are a candidate or to receive more information about our bariatric program please fill out our form below so we may contact you. FOR YOUR PRIVACY ALL INFORMATION IS KEPT STRICTLY CONFIDENTIAL.

 

Once we receive your information we can speak by phone or email until you are comfortable with the information we provide.  We understand these choices can be difficult.  Let our friendly staff help you which procedure might be best for you.

 

 
  CONTACT:  

First Name 

Last Name
Phone
Email
Address
City
State
Zip Code
   

   CLINICAL:

  
Age
Date of Birth
Height
Weight
Sex Male  Female
 

   PERSONAL:

  
Profession

Please state how this condition affects your life
   
   INSURANCE:  
Type of Health Insurance?
Name of Health Insurance Company
Will you need financing for your procedure? Yes No
   

HOUSTON l DALLAS l BATON ROUGE

 


 

 

 

 

 

 

 

Home  l  Gastric Bypass Surgery  l  LAP BAND Surgery  l  Benefits of Gastric Bypass  l  Surgery Candidates

Risks of Gastric Bypass  l  After Surgery  l  Before and After Photos  l  Insurance Coverage

Insurance Guidelines  l  Surgery for Obesity  l  Morbid Obesity  l  Childhood Obesity  l  Weight Loss Options

Obesity Health Risks  l  Obesity Fact Sheet  l  BMI Calculator  l  Weight Tables  l  FAQ's  l  Contact

 

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American Association for the Treatment of Clinical Obesity

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