Locations

Our Lady of Lourdes Memorial Hospital

  • Emergency Care
  • Hospital/Medical Center
  • Imaging
  • Laboratory
  • Pharmacy
  • Specialty Care
Hours
Open 24/7
Appointments
607-798-5111

Bariatric Program Inquiry Form

To learn more about our weight loss surgery program, please complete the following form. Our Bariatric Nurse Navigator will contact you to answer any questions you may have about the program and schedule an appointment or consultation.

Bariatric Program Inquiry Form

Please Note: This form will be used by Lourdes and the Lourdes Bariatric Nurse Navigator to gather information about you for our bariatric weight loss program. Under no circumstance will Lourdes voluntarily disclose your personal information to any party without your specific consent or as requested by law.