Bariatric Surgery Candidacy Screening Form

Streamline Your Bariatric Surgery Screening with Paperform

Bariatric surgery is a life-changing procedure that requires thorough pre-visit assessment to determine patient candidacy. This Bariatric Surgery Candidacy Screening Form helps healthcare providers, bariatric clinics, and surgical practices efficiently evaluate potential candidates before their first consultation.

Built with Paperform's intelligent calculation engine, this template automatically computes BMI from patient height and weight inputs, providing instant classification feedback. The form captures comprehensive medical history including comorbidities (type 2 diabetes, hypertension, sleep apnea, cardiovascular disease), previous weight loss attempts, dietary habits, and psychological readiness—all critical factors in determining surgical eligibility.

Why Healthcare Providers Choose Paperform

This template leverages Paperform's conditional logic to show relevant follow-up questions based on patient responses, creating a personalized screening experience that captures detailed information without overwhelming patients. The form can be branded to match your practice's visual identity and embedded directly into your website or patient portal.

For bariatric programs managing high patient volumes, integrate this form with your electronic health record (EHR) system via Stepper workflows at stepper.io. Automatically route qualified candidates to scheduling teams, flag high-risk cases for additional review, and sync patient data seamlessly into your practice management software—eliminating manual data entry and reducing administrative burden.

Need to collect consent forms or pre-operative agreements? Connect this screening form to Papersign at papersign.com to automatically send required documents for eSignature once candidacy is confirmed, creating a smooth digital journey from initial screening to surgical preparation.

Trusted by healthcare providers worldwide, this SOC 2 Type II compliant template ensures patient data is handled securely while providing the flexibility and automation modern bariatric practices need to deliver exceptional patient care.