Patient Forms


Bariatric Surgery Forms

Please download, print and fill out the patient information form before your first appointment, this will minimize your time spent in our waiting room. If you have any questions about either of these forms, please call us at (702) 626-0499.



Insurance Verification Form

Patient History Form 


Southern Nevada Bariatrics
3365 E. Flamingo Road, Suite 9
Las Vegas, NV 89121
Phone: 702-626-0499
Fax: (702) 707-0319
Office Hours

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