Weight Loss Surgery Presentation

Weight loss surgery presentations are available for all interested candidates. All patients are required to view the presentation prior to seeing the surgeon for an initial consultation. The presentation will cover in detail each surgical procedure, risks and benefits, advantages and disadvantages, nutrition needs, activity and exercise requirements, and what to expect following surgery.

Please review the presentation and answer the review questions. For more information contact the Weight Management Solutions team by calling (573) 248-5407.

First Name: *

Last Name: *

Date of Birth: *

Gender

Male

Female

Non-binary

Phone Number: *

Phone *

Home

Cell

Text Message Reminders *

Allow

Disallow

Best Time to Call *

Best Day to Call *

Email Address: *

Mailing Address: *

City: *

State: *

Zip Code: *

Type of Insurance: *

If insurance is through an employer, please provide name of employer: *

How did you hear about our program? *

Name of Healthcare Provider: *

Which radio station? *

Please explain: *

Preferred Location for Initial Appointment: *