Mount Carmel Health System

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Batriatric Information Packet

Thank you for your interest in bariatric surgery at Mount Carmel. Congratulations! You’ve taken the first step in pursuing this life-changing surgery by watching our educational video. The next step in preparing for bariatric surgery is determining your eligibility. You may be eligible if:

• You have a Body Mass Index (BMI) greater than 40, or a BMI between 35 and 40 accompanied by other health-related issues (for an average height individual this is approximately 100 pounds overweight or more).
• You have failed to lose weight through diet attempts or other weight-loss programs.
• You are over the age of 18.

Your health and well-being are our primary concerns, so you also will receive an extensive medical evaluation to determine if bariatric surgery is safe and appropriate for you.

If you feel you are eligible for bariatric surgery and would like to receive an information packet, please complete the following information and hit submit.

* Indicates required information
First Name * 
Last Name * 
Street Address 1 * 
Street Address 2 
City * 
State * 
Zip Code * 
Phone * 
Email Address * 
I would prefer my packet to be sent via: * 

I acknowledge that my information will be shared with Central Ohio Surgical Associates  * 
Authentication * 

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Please note, if you submit this form after business hours, the packet will be sent the next business day.
©  2014  

Mount Carmel Health System  |  Columbus, Ohio

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