Download Your Forms

For the convenience of our patients, we have collected the most-common forms needed to prepare for or complete your bariatric surgery program. Many of these forms are self-explanatory, but we encourage all patients to contact us when questions arise.

If you are viewing a pre-op diet form, please make sure you select the correct diet for your specific procedure. Your surgeon will instruct you to follow a specific diet before surgery. If you are unsure of which diet you are supposed to follow, please contact our office.

Bariatric Center of Kansas City
Santa Fe Medical Building
9301 W. 74th Street Suite 230
Shawnee Mission, KS 66204
(913) 677-6319

NOTE: These forms require the free Adobe Acrobat Reader software, which most likely is already installed on your computer. If you do not have the software you may download Adobe Acrobat Reader for free by clicking the icon below.

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	Medical History Form for Bariatric Surgery
	Pre-Op Diet for Lap Band Surgery
	Pre-Op Diet for RNY Surgery
	Pre-Op Diet for Sleeve Surgery
	2 Week Liquid Pre-Op Diet
	Life After a Fill