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
Surgery Preparation
- Preoperative Requirements*
- Preoperative Laboratory Request
- Final Preoperative Instructions
- Adjustable Band Bowel Preparation
- Gastric Bypass and DS Bowel Preparation
Insurance Information
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
Postoperative Forms
General Surgery - (Non-Bariatric)
*Documents marked with an asterisk are also found in the Patient Workbook
