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Step 1:  Please complete all of the following forms: 

 Patient Health Record 3-2007.pdf  
             (Click to download file)

Pre-Op Patient Questionnaire 042606.pdf
            (Click to download file)

Step 2:  True/False Quizzes: Select the procedure(s) of your choice* 

  True-False-Adjustable Gastric Band - Realize and Lap-Band.pdf 
            (Click to download files)

True-False-Gastric Bypass.pdf
             (Click to download files)

*LAP-BAND only - if you are 60 or older

Step 3:  Bring the completed forms to your first appointment, OR