Program Application

To make your consultation with our staff more effective and efficient, it helps to have some information about you before your initial visit. Please click the link below, print the document, fill it out, and be sure to bring it with you to the informational seminar or return it to our office.

You may fax or mail it to:

Oregon Bariatric Center
RiverBend Pavilion, 2nd floor
3377 RiverBend Drive
Springfield, OR 97477

Fax: (541) 222-6113

Download the program application here  

Health & Lifestyle Information Packet

In addition to the application, the health and lifestyle information packet gives the surgeon a detailed look at your medical and surgical history. Please click the link below, print the document, fill it out, and be sure to bring it with you to your first consultation appointment.

Download health and lifestyle information packet here

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