Please watch the Bariatric Same Day Surgery Webinar video and complete the form below.

For any questions, contact Teresa Highley, Bariatric Program Coordinator
Phone: (703) 689-9328 or Email Teresa Highley

All fields with an asterisk (*) are required.

Thank You

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2020-CAP-Reston Hospital-Bariatric Same Day Surgery Webinar-PI
Name*
Date*
Date of Surgery*
Do you certify that you watched the orientation video in its entirety?*