Weight Loss Surgery Symposium

Registration Form

Location: NHH (North Hills Hospital)
North Hills Hospital Medical Office Building
Austin Room Suite 202
4375 Booth Calloway, North Richland Hills, Texas 76180


Time: 7pm - 9:00 pm
Symposium dates are subject to change without notice.

Pick a date
Contact Information
First Name
Last Name
Street Address 1
Street Address 2
City
State
Zip
Phone Number
E-mail Address
Personal Information
Birth Date
Height inches
Weight pounds
BMI
percent
Insurance Carrier
Questions/Comments
How did you hear about us?
If Physician Referral, which physician?
Click to submit your reservation, or call (817) 255-1717 to speak to the Bariatric Coordinator.