Please fill out these forms prior to your first visit.
- Welcome to the REX Surgical Bariatric Program
- Pre-Orientation Form
- Medicare Policy Information
- Patient Demographics
- General Consent Form
- Release of Information
- Nutrition Assessment
- REX Bariatric Specialists Medical History
- Patient Rights Brochure Spanish
- Patient Rights Brochure English
Note: You need a PDF reader to view these forms. Please visit Adobe.com to get a free copy of Adobe Reader.