Seminar Consent

I confirm I have watched this entire video. I will bring my follow-up questions to my first appointment.*

First Name*

Last Name*

Phone Number*

Phone

Email Address*

1. A higher Body Mass Index can put health at risk for conditions such as diabetes or high blood pressure*

True

False

2. If you have the Roux-en-Y gastric bypass procedure, you can resume ibuprofen and other steroid-type medicines within 3 to 6 months.*

True

False

3. Once you have bariatric surgery, you cannot gain weight back and can eat however you want.*

True

False

4. A BMI as low as 30 could be a candidate for weight-loss surgery.*

True

False

5. The SADI-S procedure can help achieve 90% or greater of excess body weight loss.*

True

False

6. Weight-loss surgery is permanent and requires lifelong changes such as vitamins, dietary changes and regular surgical follow up.*

True

False

7. Like any surgery, there are risks associated with bariatric surgery.*

True

False

8. If you resume eating as you did before surgery, you will still keep weight off because of the surgery.*

True

False

9. A benefit of weight loss surgery is improved quality of life such as being able to enjoy activities that you had difficulty with before.*

True

False

10. Hendrick Body and Wellness and Hendrick Medical Center South are excited and equipped to partner with you to achieve your individual goals.*

True

False

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