®
Tired of being overweight and unhealthy?
The LAP-BAND®  procedure could change your life!
Call TODAY to attend our next SEMINAR - 361 985-9500
Procedure Performed in Corpus Christi
Corpus Christi
      LAP-BAND
®
Patient Forms

Dr. Griffin believes in treating the person, not the disease or condition. Because he prefers a personal approach to medicine, we have designed this page for the purpose of minimizing necessary paperwork associated with your visit.

If you have scheduled an appointment, or plan to schedule an appointment, you will need to bring the following items with you to your appointment.

 
•  Print and complete the forms shown at right.  Fax them prior to your visit or
     bring them with you.   Our Fax number is 361 985-9506
  •  Fax an enlarged copy of the front and back of your insurance card
  •  Picture ID, which is required by law.
  •  Your insurance card..
  •  All prescriptions and over-the-counter medications that you are currently taking.
  •  A list of all questions and/or concerns that you may have.
  •  If you have any questions, please call us.     361 985-9500

Preparation and communication are key factors in enhancing health outcomes.

We look forward to serving you!
Patient Information Form 1
Patient Information Form 2
Weight Loss History Form
Authorization
Notice of Privacy Practices