We have provided two different types of forms our patients

Click Here – Bariatric New Patient Consult Packet *

  • This is for the new patient that has already contacted us and we jointly discussed options and possible appointment times needed by the patient. Our office would have already verified your insurance benefits (we do the heavy lifting for you to ensure you know any possible hurdles/exclusions to your health plan) should you chose to have bariatric surgery with our office. Your Initial Consultation Packet of information must to be completed prior to your 1st consultation with either Dr. Bilof and/or Dr. Yurcisin. We have included in the consult packet : information about our offices; directions; a goal sheet to get you in touch with the Obstacles for losing weight as well as your Goals. We review your medical information prior to your appointment so your 90-minute initial consult is spent working with you and discussing surgical options that fit with your current medical and weight loss goals. Having your consult packet in the office prior to your appoint gives us time to review the information you provided and see you on time for your appointment. Just because it is referred to as a ‘waiting room’ does not mean we have to keep you waiting; and you won’t if all is set prior to your appointment.

Click Here – New Patient General Surgery Consultation Packet *

  • Dr. Yurcisin is a fellowship trained minimally invasive General Surgeon as well as a fellowship trained Bariatric Surgeon. This consultation packet is for the non-bariatric patient that has either contacted us to see Dr. Yurcisin for a consult or has seen him at St. Barnabas in the Emergency Room. The information requested – even if you have ‘seen’ him already in the E.R. – is important full medical information to ensure we take care of your complete medical needs. Please be sure to have your completed consultation packet back to our office prior to your office appointment so Dr. Yurcisin and the medical team can review prior to your arrival.

Click Here – GSBWC Bariatric Guide Book *

  • We provide our guide book to our patients once they are closer to their surgery date. Our book is designed to give you the tools you need before, during and within the 1st year of your surgery. Your dietary and nutritional needs are in the book as well as other key information that we go over with you throughout the process. The guide book is meant to keep you on track and remind you of your role in your process. The guide book does not replace any counsel or possible changes to the standardized information. If Dr. Bilof and/or Dr. Yurcisin asks that you do something differently than in our guide book, please make a note in the book of the change edited for your particular needs. Unlike the consult packet, this is YOUR guide book; so take notes, keep it close and access the information all along the way!

* the forms included are the property of GSBWC and not to be used without prior authorization by GSBWC.

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