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Patient Forms

Thank you for your interest in our program at the ProMedica Toledo Hospital Metabolic and Bariatric Center. If you would like to learn more about weight loss surgery, please consider registering for a seminar. After registration, please download these forms, fill them out and bring them with you to your seminar. If you have any questions, you can contact us at 419-291-6740, or 1-800-971-8203 (toll free).

Download Patient Checklist

Download Patient Information Form

Download Patient Insurance Verification Form

Download Seminar Date Form

Download Dietitian Consult Form

Bariatric Toolkit

Use the tools below to get started on your weight loss journey with help from the ProMedica Toledo Hospital Metabolic and Bariatric Center.

Bariatric Seminar

Attend one of our monthly seminars to learn more about bariatric surgical procedures, ask questions and determine whether you're a candidate.

Register for a seminar

Success Stories

Hear directly from former patients about their battles with obesity and their experiences with the weight loss process.

"Watch success story videos

Contact Us

Do you have a question about bariatric surgery or about our program? We'd love to hear from you.

Contact us