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Complete the correct intake form so Dr. El Djouzi can prepare for your consultation. It takes about 15 minutes.

First-Time Surgery Consultation

If this is your first bariatric procedure, choose this pathway to share your goals, health history, and expectations.

Revision Surgery Consultation

Select this option if you’re seeking a revision of a previous bariatric surgery so we can review your prior procedure and current needs.

Start Revision Form

Important: Please submit your intake form within 24 hours of booking to keep your spot.

Please be on time to avoid delays or disruptions to the clinic schedule.

Your appointment is confirmed. A confirmation email has been sent with your Zoom link (if you opted for a virtual meeting) or our office address (if you opted for an in-person visit) and the option to add it to your calendar.

Questions? Call or text our team at 773-365-1300.