Forms

Please download the necessary forms below.  You may then print them, and complete prior to your visit.  To download a form, simply click on the name of the form.  It will open in your browser.  If you prefer to save the form to your computer, you may right-click on the name of the form, then left-click on "Save Target As."

Patient History & Physical    (MS Word Document)

Bariatric Patient Info Sheet   (MS Word Document)

Demo and Insurance Form   (MS Word Document)

Medical Record Form          (MS Word Document)

Privacy Policy

*$9,888 price includes facility fees at Turning Point Specialty Surgery Center, surgeon and anesthesiologist professional fees, Lapband device, one year of unlimited office visits for band adjustments.