Patient Profile Information
If you are a candidate for LAP-BAND® System Surgery, please complete the Patient Profile Information. You may download the form in MS Word or Adobe PDF format. Choose the appropriate link below.
- MS Word format (560K .doc)
- Adobe PDF format (240K .pdf)
If you have any questions, please contact Cheryl Conwell at 317-621-2511.
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Last update:
Wednesday, March 10, 2010.
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