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New
Patient Paperwork
Please bring the following items with you to your
appointment:
Print out the forms listed below and fill them out. Bring them
with you, or fax them prior to your appointment.
Bring your insurance card to each appointment.
Bring all prescription and over-the-counter medication that you are
currently taking.
Bring all medical records from you PCP within the last five years.
Bring any diet and exercise records you may have.
A list of all questions and/or concerns that you may have.
Lap-Band Patient Registration Packet...
When clicking on the link above choose "save" and specify a location
on your computer to save the file. After it finishes downloading to
your computer, go to the location that you specified and double
click on the file named
Lap_Band_Patient_Information_Profile_Form.doc. This file will
open in Microsoft Word. |