Barix Clinics - Get More Information
   
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listed above or email me in the future.

 

Body Mass Index (BMI) is the measurement that will help determine if you're a candidate
for this surgery.
*Gender    Male    Female

*Height    ft    in *Weight    lbs

*Age  

 

Many health insurance plans consider bariatric surgery a covered benefit. The insurance
specialists at Barix Clinics can assist you. In order for us to better serve you, please
select your primary health insurance provider from the list below.
Primary  
Health Insurance  

If your insurance provider is not on the above list, please
provide the name of your insurance company below:


Have you been considering weight-loss surgery for more than one year?  Yes  No
Do you know someone who has had bariatric surgery?  Yes  No
Do you have any weight-related health conditions?  Yes  No
Have you talked to your doctor about weight-loss surgery?  Yes  No

  Were you referred to Barix Clinics?  

 

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