Melbourne Bariatrics Melbourne Bariatrics
Melbourne Bariatrics
  • Weight Loss Surgery
  • Obesity
  • Our Team
  • Patient Resources
Weight Loss Surgery
  • How Much Does it Cost?
  • Which Operation is Best For Me?
  • Sleeve Gastrectomy
  • Allurion Gastric Balloon
  • Risks of Surgery
Obesity
  • Why am i overweight?
  • Body Mass Index
  • Time to Act on Obesity
Our Team
    Patient Resources
      • Home
      • FAQs
      • About
      • News
      • Contact
      New Patient Registration
      Obesity Surgery Melbourne by Dr Geoffrey Draper at Melbourne Bariatrics - Peninsula. Call 03 9770 7189 to attend a Weight Loss Seminar. Lap Band Surgery. Gastric Sleeve Surgery. Gastric Bypass Surgery in Melbourne.Patient Registration

      New Patient Registration

      Please complete this form if you would like to arrange an appointment with Mr Draper.

      Include as many details as you feel able, but note there are some compulsory fields marked with *.

      Whether or not you decide to proceed with surgery, completing this form will stream line your work up for surgery. It will help us to arrange the earliest possible surgery date. If you would prefer to make an enquiry only, please click here.

      Personal Details

      Yes No
       

      Medical History

      Have you ever, or do you currently suffer from any of the following?

      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
       

      Operations

      Yes Ex Never

      Medication (Please list all your current mediation, doses are not required)

       
       

      Sleeping Patterns Do you tend to have any of these problems?

      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
      Yes No
       

       

      Weight Profile

      Yes No
      Yes No

      Which weight loss operation do you prefer at this stage?

       

      Why do you want to lose weight with weight loss surgery?

      (tick the box next to those that apply to you)

       

      Fitness for Surgery

      Yes No
      Yes No

       

      Personal Declaration

      Risks, Costs & Questions
      Learn more
      Mr Geoff Draper
      Learn more
      Gastric Bands
      Learn more
      Sleeve Gastrectomy
      Learn more
      Which operation is best for me?
      Learn more
      Melbourne Bariatrics
      Questions
      1
      Cost
      How much does it cost?
      Basically, at Melbourne Bariatrics Peninsula, a Gap fee for most bariatric surgery applies. The gaps fees for a Sleeve are $6400. Revision surgery fees vary.
      Learn more
      2
      Payment Options
      A range of payment plans are available.
      These include standard payment through Private Health Cover, No gap covered by Supported Health, Self funded and Using your Superannuation.
      Learn more
      3
      Choosing
      Which operation you choose should be the safest operation that suits you. In a nutshell, Bands are the safest, Sleeves have the most natural eating style, & Bypasses achieve the greatest weight loss. They are all done laparoscopically (keyhole).
      Learn more
      • Find Us
        Peninsula Private Hospital
        Suite 7, 525 McClelland Drive,
        Frankston VIC 3199
        03 9770 7189
        © 2025 Melbourne Bariatrics - Peninsula
        All Rights Reserved.

        Disclaimer


        Site by - TEAPOT Digital
      • Latest News
        Important update regarding Covid19
        Eight out of 10 patients happy with weight loss surgery, says study
        Myths Associated with Obesity and Bariatric Surgery - Myth 1.
        Lap band surgery helps treat type 2 diabetes in the overweight: study
        The Truth About Fat
      • Information
        • Which Operation is Best For Me?
        • Adjustable Gastric Bands
        • Sleeve Gastrectomy
        • Gastric Bypass
        • Allurion Gastric Balloon
        • Compare the 3 Operations
        • New Patient Registration
        • Our Team
        • Obesity
        • Body Mass Index
        • Am I a Candidate?
        • Preparing For Surgery
        • Risks of Surgery
        • Contact Us
      Call Us