Schedule a Consultation | Bariatric and Metabolic Weight Loss Center

Contact Us Find a Provider Give

Bariatric and Metabolic Weight Loss Center

Consultations: Our goal is to support you every step of the way in your journey to change your weight, change your health and change your life. Want to learn more about how our weight-loss programs can help you? Request an appointment by submitting the online form or call (631) 444-BARI (2274) today!

Click here to watch our online webinar to learn more about the services we offer.

Submit this Patient Information Packet with your consult request

Name:

First

Last

Daytime Phone:

Alternate Phone:

Email Address:

Best time to reach you:

Morning

Afternoon

Address:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

How did you learn about us?

How much weight-loss are you looking to achieve?:

30 lbs or less

50 lbs +

100 lbs +

Are you considering Surgery?

Would you like to receive information about screenings and events at Stony Brook Medicine via email?

Yes

CAPTCHA

Math question 11 + 6 =

This question is to prevent automated spam submissions.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. / Esta pregunta es para comprobar si usted es un visitante humano y prevenir envíos de spam automatizado.