eForms

What to know about eForms:

In general, we would prefer that you fill out the Patient Portal rather than use the eForms. To access the Patient Portal, just click the link and follow the instructions.

If you can't use the portal for some reason (please try!), we ask that you to fill out four eForms: the medical history form, the financial agreement, the health insurance questionnaire, and the medical records release form (so that others will release your old medical records to us.)

If you would like to complete them beforehand, the forms can be downloaded below by clicking the respective links. Once downloaded, you can print them and finish them by hand. Then you can either fax them to us at (888) 519-0045, or just bring them with you to the office.

Alternatively, you can fill them out and then email them to us at contact@virginiabariatric.com.

These forms can also be accessed through our Patient Portal. Just click and follow the instructions.

Thanks!