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Brady Hagood, M.D., FACS
Stephanie Taylor, M.D., FACS
Jessica Enix, M.D., FACS
Hamilton Le, MD, FACS, FASMBS

Weight Loss Seminarsadmin2023-05-16T17:19:31+00:00

OKC Weight Loss Seminars

Our Weight Loss Center offers online seminars to get you started on your weight loss journey.

Online Weight Loss Seminar

Thank you for your interest in Surgical Weight Loss. To get started, we need to collect a little information from you.

Please complete the screening form below.

Once the form is completed you will be directed to the first video. You will watch a series of videos. You must view each video in its entirety. Get started by filling out and submitting the screening form below.

Please allow adequate time to complete all four seminar videos (2 hours).

First Name*

Last Name*

Email*

Telephone*

Address*

Street Address City State Zip Code

Date of Birth *

Estimated Height*

Estimated Weight*

Have you had a previous bariatric surgical procedure?*

Yes

No

If Yes, please provide date, physician and details:

Primary Insurance

Insurance Company Name*

Insurance Customer Support Telephone*

Insurance Subscriber Number*

Insurance Group Number*

Secondary Insurance

Secondary Insurance Company Name

Secondary Insurance Customer Support Telephone

Secondary Insurance Subscriber Number

Secondary Insurance Group Number

How did you find us?

My Doctor

Web Search (Google)

Surgical Partners Website

TV

Radio

Print

Family / Friend

Other

If Other, tell us how:

Surgical Partners of Oklahoma, LLC
1601 Health Center Parkway, Bldg 1000
Yukon, Oklahoma 73099

Ph. 405-265-2210 Fax 405-265-2256

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Call TODAY to Schedule An Appointment

405-265-2210

OKC Weight Loss Seminars

Online Weight Loss Seminar

Call TODAY to
Schedule An Appointment