Weight Management Center

Bariatric Surgery – Online Informational Seminar

Bariatric surgery can lead to a healthier weight, decrease the likelihood of developing certain illnesses and improve quality of life.

Directions

**If you had weight loss surgery previously you must call the office at 484-426-2600**

1. Read these directions completely

2. Watch the video in its entirety.

3. You will need to write down the web address on the last page of the video in order to get to the quiz page. Don't close out the video until you see this address.

4. Take the quiz and pass with an acceptable score.

5. Print out these forms and complete in their entirety. You will have access to the forms once you pass the quiz:

  • SLPG Intake Form
  • Bariatric Services Mental Health Assessment form
  • Medical History Form
  • Food Record Form
  • Physician Name Form
  • Directions To The Office, if necessary

6. Mail 5 forms to:

For ALLENTOWN:
St. Luke's Weight Management Center Allentown
240 Cetronia Rd, Suite 205N
Allentown, PA  18104
484-426-2600
OR
Fax to 1-833-816-7512. You must include the fax cover sheet provided once you pass the quiz.

For MONROE:
St. Luke's Weight Management Center Monroe
1581 N 9th Street
Stroudsburg, PA  18360
272-212-0620
OR
Fax to 1-833-485-0134. You must include the fax cover sheet provided once you pass the quiz.

For WARREN:
St. Luke's Weight Management Center Warren
Hillcrest Professional Plaza, Building 300, Suite 302
Phillipsburg, NJ  08865
908-847-6722
OR
Fax to 1-833-541-5799 You must include the fax cover sheet provided once you pass the quiz.

7. Once we receive the completed forms in our office, we will contact you to make an initial office visit. If you do not hear from us within 7 days of mailing your forms, you can call the office number.

Watch the Video

Click on the image below to play the video. The presentation is 42 minutes in length, so the file may take a few minutes to download. Please be patient