Inova Bariatric Surgery Patient Forms

If you are a new patient to the Inova Bariatric Surgery practice, please complete the forms below and bring them with you to your appointment. Please arrive 15-20 minutes before your appointment to complete any other needed paperwork. Also remember to bring your insurance card and photo ID to each visit, as well as a list of your medications (prescription and over-the-counter) and a referral if required by your insurance. Bariatrics surgery medical history form Inova Medical Group patient registration form Authorization for claims payment and reviews Notice of privacy practices Acknowledgment of receipt of notice of privacy practices Release of medical information form ADA special needs assessment