Register for Online Bariatrics Seminar

We encourage you to watch each segment of our online seminar to better understand the role of bariatric surgery in successful, long term weight loss. This ensures your experience is as meaningful as possible.

After registering below, you will be redirected to a page where you can view the seminar. We will also send a custom seminar link to your email address for your records.

placeholder 500x330

Personal Information

Fill out the following form to register for an online seminar. This will help us better understand your needs.

Name
Address
Date of Birth
Gender *

Calculate Your BMI (Body Mass Index)

A BMI helps our team better understand your current limitations. To determine which weight loss program you qualify for, please enter your height and weight to calculate BMI.

ft

in

lbs

Contact Info
How would you prefer to be contacted? *

By providing your personal details, you consent to our ministry contacting you for follow-up information. Your details will not be sold or shared outside our ministry network.