Denver Obesity Surgery - Center of Surgical Specialists PC   Why Choose Us?
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Dr. Doru I.E Georgescu
Dr. Doru I.E Georgescu
Dr. Doru I.E Georgescu
Getting Started

Patient Forms

The following Bariatric patient forms are provided for your convenience. Please fill these out and bring them with you to your appointment. If you have any questions regarding the information requested, call us at 303-452-0059 and we can assist you.

If you do not have Adobe Reader to view the following PDF forms you can download a free plug-in by clicking on the Adobe Reader button.

Patient Forms to bring to your first visit

Patient Flow Worksheet & Surgery Workup Order Patient Flow Worksheet & Surgery Workup Order
HIPAA Acknowledgment & HIPAA Authorization HIPAA Acknowledgment & HIPAA Authorization
Weight Loss Surgery Health Questionnaire Weight Loss Surgery Health Questionnaire
Bariatric Surgery Reveiw Bariatric Surgery Reveiw


These forms contain important information for you to read prior to your appointment. You may to choose to print them or save to your computer.

Financial Information Financial Information
Expediting Your Surgery Expediting Your Surgery
Guiding Principles For Significant Others Guiding Principles For Significant Others
Release of Information Release of Information


All the Patient Forms are Adobe PDF files and require an Adobe Acrobat Reader If you do not have a copy, you can obtain a free copy of the Reader from the Adobe site. Click on the Adobe logo below go download the Adobe Reader.

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Denver Obesity Surgery - Center of Surgical Specialists PC : 303-452-0059
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