Bariatric Pre‑Surgical Psychological Evaluation Intake Request
Please complete the information below before selecting your state‑specific intake packet.
Thank you for your interest in scheduling a bariatric psychological evaluation.
Please complete the form below. Once your request is received, I will send you a secure invitation with instructions to complete your Bariatric Evaluation Consent and Payment Package.
After your Bariatric Evaluation Consent and Payment Package has been received and your payment processed, you will receive another secure invitation to access your Digital Bariatric Evaluation Intake Packet.
Once your completed intake packet has been received and reviewed for completeness, you will receive your final secure link to schedule your 30-minute telehealth consultation at a time that is convenient for you.
Bariatric psychological evaluations are currently available to clients who will be physically located in New York, Oregon, or Pennsylvania at the time of their telehealth evaluation.
After you enter your contact information, please select your Bariatric Request from the state where you will be physically located at the time of your appointment to begin the secure intake process.