person requesting bariatric metabolic appointment

Need an Appointment?

Request an appointment with a specialist at our Bariatric & Metabolic Institute.

Fields with * must be completed prior to submitting your request. Additional information is encouraged, but not required.

Request an Appointment

Personal Information
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  • Phone
  • Email
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  • Morning
  • Afternoon
  • Evening
Primary Care Physician (PCP) Information
Appointment Preferences
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  • Gastric Bypass
  • Sleeve
  • Band to Sleeve
  • Band to Bypass
  • Revision
  • Undecided
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  • Yes
  • No
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  • George Eid, MD
  • Kellen Hayes, MD
  • Tunc Aksehirli, MD
  • No preference
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  • West Penn Hospital Mellon Pavilion
  • Peters Health + Wellness Pavilion
  • Wexford Health + Wellness Pavilion
  • Forbes Hospital Professional Office Building 2
  • Greensburg Nature Park
  • Jefferson Hospital
  • No preference
Medical History
Please check all that apply