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New patient forms: Download, View and Print

As a new patient at MyNewSelf Bariatrics, your weight-loss journey has already begun. We are thrilled you decided to take your first step toward better health with us. Before your appointment, you can download and fill out all the forms you need. Bring these forms with you, and you’ll be one step closer to the new you.

Additional forms


Dawn's gastric bypass surgery story at MyNewSelf Bariatrics in St. Louis, MO.

Dawn let us know that the last time I went to my cardiologist, he did tell me that if I did not make any changes, I would not be here much longer. I’ve lost 146 pounds since my surgery…and I’m still losing.