Contact Us(310) 828-2212 Schedule a Consultation

Important Pre-Op Forms

Please feel free to download the forms below and bring them with you at your consult or fax them back to us at (310) 828-5165.

To begin the process, please fill out the Medical and Bariatric History Form, entirely. Once completed, mail, fax, or hand-deliver both along with a copy of your health insurance card (front and back) to our office.

Please read the Patient Introduction and Instruction Handbook which will guide you through the path to surgery.

Contact Our Office

Phone(310) 828-2212
Fax(310) 828-6829
EmailSend Message
Santa Monica Location
2001 Santa Monica Blvd
Suite 1170W
Santa Monica, CA 90404
Tarzana Location
5525 Etiwanda Avenue
Suite 222
Tarzana, CA 91356