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Okay, so you have decided that you wish to have the Lap Band Surgery...What next?  We here at Bandlandia have done your homework for you!  Simply Download the following file:

Patient Forms in Word Document format

Patient Forms in PDF format       

 

(Click the image to get Adobe Reader!)

 

NOTE:  Please fill in the insurance information on the Patient Information page of the packet, as the faxed copies of the insurance cards typically do not come across very clearly.

Then fax the completed packet to 214-234-0331 and we will get the process started.

If you are unable to download the forms, or cannot open the documents, please call us at 214-353-2924 or 888-744-2263 and we can fax you the forms.
 

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