Your first visit to our office is designed to get you better acquainted with Dr. Ken Hollis and our caring staff as well as all we have to offer. We encourage questions and do our best to always deliver high quality care.
We understand that your time is a precious commodity, so we ask all of our patients to please complete the required patient forms prior to your scheduled appointment. This helps to ensure that our office team has the opportunity to assist you in a timely manner.
Bariatric Surgery
We thank you for your confidence and look forward to meeting with you soon to fulfill all of your Bariatric Surgery needs.
Please click on the links below to download and complete the following forms specific to your Bariatric Surgery and bring these completed forms to our office on the day of your scheduled appointment.
- Bariatric New Patient Information Form(Print and Complete - Bring with You)
- Financial Responsibility Form(Print and Complete - Bring with You)
- HIPAA (Patient Privacy) Consent Form(Print and Complete - Bring with You)
- Diet & Exercise: Weight Loss Journal(Print and Complete - Bring with You)
- Bariatric Coverage Questions
- Post Diet Instructions(Print for your Records)
- Pre-Operation Bariatric Protein Information(Print for your Records)
- Online LAP-BAND Support Groups(Print for your Records)
General Surgery
We thank you for your confidence and look forward to meeting with you soon to fulfill all of your General Surgery needs.
Please click on the links below to download and complete the following forms specific to your General Surgery and bring these completed forms to our office on the day of your scheduled appointment.
- General New Patient Information Form(Print and Complete - Bring with You)
- Financial Responsibility Form(Print and Complete - Bring with You)
- HIPAA (Patient Privacy) Consent Form(Print and Complete - Bring with You)
