Forms

Fri,24May2013

Forms

  • PDF

You can download our forms below:

Obesity History Form

Patient Information Form

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Hospitals

  • Genesys Regional
  • St. Joseph Mercy
  • Crittenton Hospital
  • North Oakland

Contact Information

Oakland Bariatrics
Dr. Marek Lutrzykowski, M.D.

Address: 10 W. Square Lake. Rd., Ste.200
Bloomfield Hills MI 48302
Phone: (248) 322-1543