Would you like to get started now? You can download and complete our application forms before your consolation.
Watch our presentation here.
Print and sign the Certificate of Completion.
The following forms may be submitted online.
Patient Advisory Form
Patient Information Form
The Health Assessment Questionnaire may be mailed or faxed to our office.
Health Assessment Questionnaire
ECU Bariatric Surgery at 252-744-3469
or Mail to:
ECU Bariatric Surgery Office
517 Moye Blvd, First Floor
Greenville, NC 27834
Fill out and bring these forms to your consultation.
Dietary Weight Loss Attempts
Exercise Weight Loss Attempts
Weight History Requirements
We look forward to seeing you for your consultation. Our office is at 517 Moye Boulevard. You can reach us at 252-744-2018 or by email at email@example.com.
What is weight-loss surgery?
Why consider weight-loss surgery?
What surgeries do you perform?
What are the requirements for our program?
What is the Body Mass Index?
What can I expect after my surgery?
I would like to become a patient. What next?
Will I need a consultation?
Can I complete my application online?
Our Support Program
Cosmetic Surgery after Weight Loss
Frequently Asked Questions
For More Information