Patient Forms & Resources

Call 937-886-4199 or Register for a Free Information Seminar

Downloadable patient forms offer information about our practice and policies and allow you to fill out paperwork in the comfort of your own home. Whether you are seeking bariatric surgery or a non-surgical medical weight loss procedure, our providers and staff are here to provide you with the information you need.

Weight Management Patient Health History Form

Patient Registration Form & HIPAA Privacy Form

Helpful Links

American Society for Metabolic and Bariatric Surgery
Obesity Action Coalition
The Campaign to End Obesity
Obesity Society