(812) 523-5230

Patient Resources

Thank you for choosing Schneck Surgical Weight Loss to help you with your weight loss journey. For your convenience, you may download, print, and complete our required patient form below. Please remember to bring your completed form along with the following pieces of information to your appointment:
  • Insurance card
  • Photo identification
  • Medication list - prescriptions, over-the-counter medicines, herbal supplements, etc.
  • Co-payments, if required by your insurance

Download and print our Medical History Form.

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