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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


Stacey had weight loss surgery at MyNewSelf Bariatrics in St. Louis, MO.

Stacey Stated: the day I decided to check into surgery options I weighed 321 pounds. As of September 2014, I am down 156 pounds…if I can get this far, others can do it ‐‐ and do it better than me!