NEW PATIENT FORM PACKAGE

Welcome!

Please, do not fill out the forms unless you already have an appointment scheduled with our office.

For your convenience, we're providing you with the complete form package in both, PDF and Word formats.

Our Microsoft Word form allows you to complete the document at home, at your pace. Please try to complete as much information as possible, and then save the file and either email it to us or print it and bring with you to your appointment.

Our PDF form allows you to complete the form as well, but you can only save it if you have Adobe Pro. If you have Adobe Reader you will have to print it after filling the form out. Please try to complete as much information as possible and then print the file and bring it with you on your next appointment.

CLICK HERE TO DOWNLOAD NEW PATIENT FORM PACKAGE IN WORD

CLICK HERE TO DOWNLOAD NEW PATIENT FORM PACKAGE IN WORD

 

CLICK HERE TO DOWNLOAD NEW PATIENT FORM PACKAGE IN PDF

CLICK HERE TO DOWNLOAD NEW PATIENT FORM PACKAGE IN PDF

About Audencio Alanis M.D.
Dr. Alanis is one of the pioneers of Bariatric Surgery in Houston, Texas.

Today, today 95% of his practice is in Bariatrics and he has performed over 4000 Bariatric cases both open and laparoscopic procedures, including lap bands, roux-en-y, and sleeve gastrectomies.

Weight Problems
Being overweight has many negative implications.

The most serious consequence is the increased risk of illness and death with increasing severity of obesity, but many other areas of life are affected

BMI Calculator
Use our interactive BMI Calculator

Body mass index (BMI) is a measure of body fat based on height and weight that applies to adult men and women. Enter your weight and height to find out your BMI.

Links
Informative links

Click below to access all the information you need to know about Bariatric Surgery