We have many resources available so patients know exactly what to expect before, during, and after surgery. Information guides and diet plans are available on this page so you can print and view them at home. For your convenience, there is also a health questionnaire and several consent forms on this page.
Patient Forms
Patient Questionnaire – Coming Soon
Informed Consent for Laparoscopic Distal Gastric Bypass
Informed Consent for Open Distal Gastric Bypass
Informed Consent for Laparoscopic Proximal Gastric Bypass
Informed Consent for Open Proximal Gastric Bypass
Patient Information
Capital One Healthcare Finance is a flexible monthly payment option specifically designed for cosmetic surgery - with payments as low as $116 per month**.
- No down payment
- Low, fixed rates ranging from 1.99% - 23.99% APR
- No prepayment penalty
** Based on a loan with an 8.99% APR for 60 months. Terms of the loan may vary based on the treatment fee and credit information. All figures are estimates.
Inpatient Dietary Protocol for Proximal Gastric Bypass
Post Op Instructions at Home for Distal and Proximal Gastric Bypass
Post Op Diet 1 (Gastric Bypass Liquids)
New Image Bariatric
Surgical Associates
9041 Magnolia Ave Suite 202
Riverside, California 92503
Phone: (866) 374-9150
Fax: (951) 352-5329