Skip to main content
Find a DoctorGet Care Now
Skip to main content
Search icon magnifying glass

Contrast

Contact

Share

Donate

MyChart

Help

Weight-Loss Surgery Information Request Form

Weight Loss Bariatric Form

 

We know that losing weight is not easy. Choosing weight-loss surgery is a life changing decision. The Yale New Haven Health Center for Weight Management is designed to support you throughout your journey. With our clinical expertise, compassion and support, it is possible to enjoy a healthier life, doing the things you love to do.

Our bariatric surgery program serves those with a body mass index (BMI) of 35 or higher, those living with type 2 diabetes and a BMI of 30 or higher, or anyone with a BMI between 30 – 34.9 who does not achieve substantial or long-term weight-loss or improvement in health issues, including high blood pressure, obstructive sleep apnea, osteoarthritis and other obesity related conditions. Check to see if you are eligible.

To receive more information about our bariatric surgery options, eligibility and support services, please complete the form below. Once complete, we will email you our latest brochure to download.

* Indicates Required