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Instructions & Forms
This section includes basic instructions and forms that are used by
The N.E.W. Program Headquarters, and some of the Affiliated Centers, for educating our patients and creating their medical record.
Select a document below:
Download The Latest Adobe Acrobat
New Patient Registration Packet for Female Patients * For Male Patients
Print and complete this form BEFORE your initial appointment. The Registration
packet include a comprehensive medical history.
Medical Pre-op Packet
This packet includes General Nutritional Guidelines, the Phase Diet
Instructions and discharge instruction. This packet
will be reviewed with you during your pre-op medical
consultation 2-weeks before surgery.
Pre-Operative
Written Exam For Bariatric Surgery
This is an educational tool for our patients.
Many patients have told us that they have learned
more from taking this examination than from all
their previous research and reading. The exam MUST
be completed before your pre-op medical appointment. The
Bariatric Internists will review your exam with you.
Tax Break Information
The American government has recognized the need
for physician-directed weight loss and bariatric
surgery in the medical treatment of obesity. You
may qualify for an income tax deduction based on
out-of-pocket expenses for medically directed weight
loss.
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