Weight Loss Surgery
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        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

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        Medical History

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

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        Operations

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

         
         

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

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        Weight Profile

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        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

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        Personal Declaration

        Sleeve Gastrectomy
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        Mr Geoff Draper
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        Which operation is best for me?
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        Risks, Costs & Questions
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        Gastric Bands
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        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.
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        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.
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        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).
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