New

Patient Forms

Thank you for choosing Tempe Surgical Weight Loss. To streamline your first visit with us, please download and fill out the forms below. Bring these along with your photo ID and insurance card to make your first visit with us more convenient.

• Patient History Form
• Privacy Policy
• Medical Records Release Form
• Patient Referral Form
• Narcotic Medication and Refill Policy
• Authorization To Release Healthcare Form
• Allergies/Problem & Diagnosis Form
• Dietary History Form

Features

Free Seminars

Register now to attend a FREE surgical weight loss seminar hosted by Dr. Schlesinger or Dr. Sprunger.

Bariatric Surgeries

Compare our bariatric surgical weight loss options to determine which procedure will work for you.

BMI Calculator

Does your weight put you at risk for serious health issues? Use our free BMI calculator to find out.