Gastric Banding Seminar

 

Dr. Anthony K. Davis and the Bingham Memorial Hospital Bariatric Team, along with former weight loss surgery patients hold seminars twice a month at Bingham Memorial. They will be on-hand to explain about the gastric banding procedure, our program, and to answer your questions. To reserve a seat for you and a guest, call 7885-3859 today.

Seminar Date:
   
Number of guests:
(in addition to yourself)  
   
   
Name:
Address:
 
City:
State:
Zip:
Phone:
Email:
   
Height:
Weight:
Date of Birth:
   
How did you hear about us? (Check all that apply.)
   
  Television
  Radio
  Health Matters Magazine
  Newspaper
  Health Fair
  Website
  Pamphlet or Brochure
  Other - Please Explain:
   
Yes No Do you want to receive our Health Matters newsletter for FREE?
   
Yes No Do you want our Care Coordinator to send a reminder about the seminar?