Bariatric Program Monthly Seminar Sign-up

Bariatric Program Introductory Seminar Registration

Seminars are held online on the 2nd Monday of each month from 5:30pm - 6:30pm.
Your First Name*
Your Last Name*
Your Phone Number*
Please enter a valid phone number.
Your Email*
example@example.com
Please Choose Your Preferred Seminar Date*
Will you have seen a Bariatric specialist prior to the seminar date?

YesNo
Additional Comments or Questions
Need Assistance?

Please contact us at brooklynbariatric@maimonidesmed.org OR call 718-283-7403.
Should be Empty:

Bariatric Program Introductory Seminar Registration