Assessment for Bariatric Surgery
Bariatric surgery has inherent risks and requires highly restrictive, long-term behavioral changes afterwards. Therefore, an evaluation including psychological assessments must be completed to determine your appropriateness for surgery. In addition to a clinical interview and a number of written assessments, please answer the following questions:
Email address *
First Name: *
Last Name: *
Date of Birth: *
Name of Surgeon:
Type of surgery anticipated:
Clear selection
Date of planned surgery:
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