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Freedom From Obesity
   

Patient Forms

Weight Loss Surgery Patients
Before your first appointment with Dr. Merriman, please complete your new patient paperwork.  You may do this conveniently online by clicking the link below. 

Follow the instructions under: "Are you a new user?"

General Surgery Patients
These forms will be emailed to you prior to your first appointment.  If you have not yet received them, please contact Lisa Cordaro at 318.222.3132 extension 2.

Medical Weight Loss Patients
These forms will be emailed to you prior to your first appointment.  If you have not yet received them, please contact Lisa Stansbury at 318.222.3132 extension 6 or email her at dietlisa949@yahoo.com.

Freedom From Obesity™
949 Olive Street • Shreveport, LA 71104
Phone (318) 222-3132 • Fax (318) 222-3865
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We are a Bariatric Surgery Center of Excellence