Request an Appointment: Weight Loss Surgery

Fill out the following form to request an appointment with the Weight Loss Surgery Center at BIDMC.

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Please allow two business days for a phone call from our staff after submitting your request.

This form is for new Weight Loss Surgery Center patients only. If you are already a patient, please use PatientSite to request your appointment.

Appointment requests are for non-urgent concerns. If you have an urgent medical concern, call 911.

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First Name Last Name Email Address Phone Number Best time to reach you via telephone (check all that apply) Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM