All forms are available in Microsoft Word .doc and Adobe Acrobat Reader .pdf file formats.

Click here to download the most recent version of Adobe's free Acrobat Reader.

Forms you'll need:

1. Form Instructions - MS Word | PDF
2. Letter from UT Medicine - UT Weight Loss - MS Word | PDF
3. Registration form - Patient Information - MS Word | PDF
4. Medical History - MS Word | PDF
5. Request of Disclosure of SSN - MS Word | PDF
6. HIPAA / Authorization to Release Medical Records to Family Members - MS Word | PDF
7. Patient Authorization for Release of Health Records - MS Word | PDF
8. Consent for Photography - MS Word | PDF
9. Permission for email communication - MS Word | PDF
10. Bariatric Surgery Agreement - MS Word | PDF
11. Bariatric Surgery Referring Doctor - MS Word | PDF