Ohio osu bariatric surgery 2026

1. Click ‘Get Form’ to open the ohio osu bariatric surgery application in the editor.
2. Begin by entering your personal information, including your date, last name, address, and contact details. Ensure accuracy as this information is crucial for processing.
3. Fill out the primary care provider section with your physician's details. This includes their name, address, and phone number.
4. Complete the primary and secondary insurance information sections. Provide all necessary details such as policy numbers and coverage specifics to avoid delays.
5. In the medical history section, answer questions regarding tobacco use, alcohol consumption, allergies, and medications. Be thorough to ensure a comprehensive review of your health status.
6. Review the authorization for release of information carefully before signing. This allows your medical information to be shared with relevant parties.
7. Once all sections are completed, save your form and print a copy for your records. Finally, email or mail it to the designated address provided in the instructions.

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