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Bariatric Services Patient Forms and Questionnaires

Print and complete the following forms for your first appointment.

The diet readiness form and patient questionnaire should be completed and sent to or dropped off at the office prior to your first appointment.

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Phone: 717-909-0290

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MyPinnacleHealth provides patients across the central Pa. region with secure access to their health information. It is the fastest way to send a message to your doctor, refill prescriptions, get test results, and schedule and manage appointments, including video visits.

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When it comes to health care for you and your family, UPMC is the best. It's easy to find the right doctor, health screenings and programs, classes and more.

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