Bariatric Treatment Centers		  

For Doctors 		 


Bariatric Treatment Centers provides a proven, surgically based program to help obese patients lose their excess weight and keep it off. We'd like to send you a doctor packet describing our program to help you determine if it would be appropriate for your patients struggling with obesity.
   


name

 
   

practice name

 
   

address

 
   

city

 
   
state
 
   
zip
 
   
business phone
  
   

e-mail

 
   



 
specialty
number of physicians in your practice

How did you learn about Bariatric Treatment Centers?
(please check any of the following that are appropriate)
Patient
Physician
Advertisement
This Web site
Internet search
ASBS
CME
Mailer
www.obesityhelp.com
Other (please specify)


In addition to the doctor packet, would you like to receive:
Brochures for office
Video describing Bariatric Treatment Centers' program
Referral cards
   

comments
  
       
   

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