Patient Forms

Prior to first office visit

Efforts At Weight Loss
Epworth Sleepiness Scale (ESS)
GERD Questionaire
SF36 Health Survey

Preoperative Instructions

2 Day Bowel Preparation Prior to Surgery
Medication Guidelines For Surgery

Postoperative

15 Minute Liquid Intake Log
30 Minute Liquid Intake Log
Caring For Your Jackson Pratt Drain At Home
Post Op Discharge Instructions
Protein - A Necessary Part of Your Diet

Home
Our Vision
Meet Our Staff
Bariatric Surgery
Types of Surgery
Post Surgery
Our Outcomes
- 2008 Outcomes
- 2003-2007 Outcomes
Insurance Information
Patient Forms
Support Groups
For Physicians
We Get Letters
Useful Links
Glossary of Terms

Bariatric Center at Saint Francis
114 Woodland Street
Hartford, Connecticut 06105
BariatricCenter@stfranciscare.org
1-800-642-9230
(860-714-7128)

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