Seminar Registration

	. LAP-BAND Introduction
	. LAP-BAND System Overview (PDF)
	. Psychological Evaluation (PDF)
	. Operative Process (PDF)
	. Diet and LAP-BAND Surgery (PDF)
	. Frequently Asked Questions (PDF)
	. Seminar Registration

Name:

Address:

City:

State: Zip:

Phone:

E-mail:

Height:

(feet/inches) Weight: (Lbs)

Insurance
Provider :

Date:

999 Illinois Avenue • Maumee, Ohio 43537-1715 • 419.893.5591