Weight Loss Surgery – Get Started Now
STEP 1:
Information Session
All of our patients will need to Complete an Information Session prior to their initial consultation visit with us in the office. This information can be completed in one of two ways: In-Person Session or Online Session.
In-Person Session
Call or email us to schedule your in-person class at (252) 744-2018 or weightlosssurgery@ecu.edu. Ask for a bariatric referral coordinator, and let them know your plan to complete our “Required Documents for Initial Consultation Appointment” (options a, b, c, or d below).
You will also need to complete the required documents for initial consultation. You may complete these documents via:
- Online submission: see below under “Required Documents for Initial Consultation Appointment” and “Online Submission”. Once submitted, the documents will come directly to our weight loss surgery email.
- Print them from our website, fill them out, and bring them to your in-person session. Printable documents are available below under “Required Documents for Initial Consolation Appointment” and “Print/Mail Submission”. You may also mail your documents back to us at the address below (though this is not the preferred method related to time and an unpredictable mail system).
- We provide you with a copy of the documents at your in-person session to complete and mail back to us at the address below (though this is not the preferred method related to time and an unpredictable mail system).
- We mail these documents to your home, you complete them, and you bring them to your in-person session. You may also mail your documents back to us at the address below (though this is not the preferred method related to time and an unpredictable mail system).
Online Session
Watch the video below and complete/submit the three required documents for initial consultation appointment under “Online Submission” below. These documents will be sent directly to our weight loss surgery email address. When all three documents are received, a weight loss surgery referral coordinator will call you to schedule your initial consultation appointment. If after completion of this online session, you feel you would still benefit from an in-person session, please call our office at (252) 744-2018.
STEP 2:
Watch Video
Click the link at right to Watch Our Video. This video is available in English or Spanish and will provide you with information about our weight loss surgery program and the different surgical procedures that we offer.
Video and Quiz
After watching the video, you will need to complete a quiz as part of the required documents needed prior to scheduling your initial consultation appointment. The links for the video are below, and the quiz may be completed online or on paper (see the “online submission” and “print/mail submission” sections below).
English
Spanish
STEP 3:
Complete & Submit Required Documents
Once ALL Completed and Required Documents are Received by our referral coordinators, they will call you to schedule your initial consultation appointment for weight loss surgery.
Required Documents for Initial Consultation Appointment
Online Submission (6 documents)
Print/Mail Submission (7 documents)
- Health History (DOCX)
- Online Session Quiz (DOCX)
- Insurance Form (DOCX)
- Patient Information Form (PDF)
- Weight Loss Attempts (PDF)
- Contract (PDF)
- Advisory (PDF)
Documentos Requeridos para la Cita de Consulta Inicial
Entregar en line (6 documentos)
- Historia de Salud
- Cuestionario en línea (ver video arriba)
- Formulario de Aseguranza
- Intentos de Périda de Peso
- Contracto
- Asesoria
Imprimir/Enviar por Correo (7 documentos)
Weight Loss Surgery Contact Information
ECU Weight Loss Surgery
Mailstop 751
600 Moye Blvd
Greenville, NC 27834
Phone: (252)744-2393
Fax: (252) 816-0721
weightlosssurgery@ecu.edu