Patient Forms

Please complete all appropriate forms prior to your appointment, or arrive 30 minutes early. Once that’s done, you’ll be officially ready for your appointment with Dr. Long and the BMCC team. Please contact us if you have any questions. We look forward to working with you!

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Click the links to access the forms

Welcome letter
New Patient Form
Authorization of Disclosure
Office Policy Form
Service Agreement
Notice of Privacy Practices
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Insurances we accept

If you have health care insurance and would like your insurance to pay for your procedure, we do accept most major insurance providers.

If you schedule an appointment with our Denver office, we are happy to discuss all of your payment options for weight loss surgery.

View insurance carrier list
Self-pay options
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Is bariatric surgery right for you?

Take our 60 second assessment to discover the best treatment plan for you.

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