You have come to the right place. Baristic Bariatric Surgery Tijuana has been negotiating prices for quality care in Tijuana, Mexico with accredited hospital facilities and qualified surgeons similar to the ones you find at home in the U.S. and Canada.
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Medical questionnaire

MEDICAL QUESTIONNAIRE

All information is confidential. Please answer honestly to assure the best possible procedure for you.

It is important that all the information provided is true and complete to the best of your knowledge. It is essential the surgeon has complete and accurate information in order to provide safe medical evaluation and care. This medical history is used in providing care through the Bariatric Center, and some information may need to share with referring physicians/counselors.








    Emergency Contact's






    Mini BypassGastric BypassGastric SleeveBariatric Revision





    YesNo


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    Muscular Conditions





    Neuro Conditions





    Endocrine Conditions




    Emotional Conditions







    Have you ever...













    YesNo


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