This is the Pre-Screen Health Form of Mexico Bariatric Center.
Any additional medical history that has not been covered, please indicate below. Do you have any questions for your surgeon or medical team?
I Agree to the Terms: I understand that full disclosure is necessary to my medical safety,
I have filled out this medical history to the best of my knowledge,
We Respect Your Privacy and Confidentiality. We'll never sell or divulge your information to any 3rd party. Your information will only be released on a strictly need-to-know basis, with your prior approval first. You also agree to be followed up with our coordination team via email, phone, and occasional text messages.