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:
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Email *
First Name: *
Last Name: *
Date of Birth: *
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Name and Location of Surgeon: *
Type of surgery anticipated: *
Date of planned surgery: *
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