Below please find our informational and program requirements PDFs, as well as a video clip from WESH2 News reporting on the reduced risk of complications with bariatric procedures and featuring interviews with Dr. Murr. This information should answer most, if not all, of your questions about the process, the operation and our program requirements. Additional information about obesity surgery is available in public libraries, the internet and from the American Society of Bariatric Surgery by accessing their website at www.asbs.org and other websites including www.tgh.org and www.zbmi.com. Furthermore, if you require any further information, please don't hesitate to contact us.

Download the Surgery Packet PDF
 

Surgery Packet Download the Surgery Packet PDF

This download summarizes the content of the web site and is a must-read for any candidates considering surgical procedures. It contains information on the Bariatric Team, Evaluations and Testing, Insurance Information, Surgery and Post-Operative Care, Orientation and Support Groups, and FAQs.

     
Download the BOLD Registration Questionnaire PDF
 

BOLD Registration Questionnaire Download the BOLD Registration Questionnaire PDF

The BOLD Registration questionnaire should be completed and brought with you to your appointment at USF Health. It contains various personal questions required to register.

     
Download the BOLD Pre-Operative Questionnaire PDF
 

BOLD Pre-Operative Questionnaire Download the BOLD Pre-Operative Questionnaire PDF

The BOLD Pre-Operative questionnaire should be completed and brought with you to your appointment at USF Health. It contains vital questions in assessing any co-morbidities.

 

 
Download Medical History Questionnaire PDF
 

Medical History Questionnaire Download Medical History Questionnaire PDF

This medical history questionnaire should be completed and brought with you to your appointment at USF Health. It contains vital questions in assessing your eligibility for bariatric procedures.

   
Download Psychiatric Questionnaire PDF
 

Psychiatric Questionnaire Download Psychiatric Questionnaire PDF

This psychiatric questionnaire should be completed and brought with you to your appointment at USF Health. It contains vital questions in assessing your psychiatric and psychosocial suitability for bariatric procedures.

   
Download 3 Day Food Diary PDF
 

3 Day Food Diary Download 3 Day Food Diary PDF

This 3 Day Food Diary should be completed and brought with you to your appointment at USF Health. It allows you to maintain a record of everything you eat and drink (with serving sizes) over a 3 day period to provide an example of your day-to-day diet.

   
Download Nutritional History Questionnaire PDF
 

Nutritional History Questionnaire Download Nutritional History Questionnaire PDF

This nutritional questionnaire should be completed and brought with you to your appointment at USF Health. It contains key questions about target weight loss, eating routines, levels of activity and specific circumstances in assessing your eligibility for bariatric procedures.

     
Download Nutritional Guidelines PDF
 

Post-Surgical Nutritional Guidelines Download Nutritional Guidelines PDF

This download provides detailed day-by-day recommendations for patients who have already undergone surgery.

     
Download WESH2 News Video Clip  

WESH2 News Video Clip Download WESH2 News Video Clip

This video clip from WESH2 News reports on the reduced risk of bariatric procedures relative to other commonly performed operations and features interviews with Dr. Murr.