Download our forms
Please download your required documents and please complete them before your visit to St. Louis Bariatric Specialists. Should you have any question regarding our forms, please call us at 314-965-8410 and we will be glad to assist in any way.
- Insurance Verification Request
- Medical History Form
- Pre-op Testing Requirements
- Release of Information
- Dietary History
- PCP referral form
- Arbitration Agreement
- Lap-Band Post Op Instructions
- Administrative/ Program Fee Document
- Demographic Form
- HIPPA Form
- Credit Card Form
- How did you Discover Us Question
