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For everyone's safety, masks are required for everyone in our facilities. This includes visitors and patients. View visitor policy.

Bryan Bariatric Advantage Patient Forms

Before your appointment with Bryan Bariatric Advantage, please complete the patient forms below. Please return as discussed with Bryan Bariatric Advantage staff member. If you have questions, please call 402-481-5490.

Patient Health and History

Patient Diet History

Medications and Allergies

Epworth Sleepiness Scale

After these forms are returned, we will schedule your consultation.


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