Bariatric Health and Behavior       Assessments
Health and Behavior Assessments are required by most surgery centers and insurance plans prior to having weight loss surgery.  Also known as a psychological assessment, this process involves meeting face to face with a behavioral health professional and doing some psychological testing.  This process also has an educational component.  While going through the assessment process you will begin to learn what lifestyle changes need to start happening prior to surgery and what to expect after surgery.

It is frequently helpful to have a spouse, parent, adult child or other support person join you for part of this process.  The assessment process is generally done over the course of 3 or 4 sessions.  Sometimes it moves more quickly, other times the process may involve additional intervention.  The goal of the Health and Behavior Assessment is to help prepare a potential surgery candidate for success!
Jeffry G. Ford, MA, LP, LICSW and LMFT has been providing these assessments for Twin Cities area surgery centers since 2002.  He has over 100 hours of basic, advanced and group training supervision and continuing education in the area of bariatric health and behavior treatment and assessment.  Jeff works individually with people needing additional therapy or preparation prior to bariatric surgery.  He also provides individual and group support for persons who have had bariatric surgery.  Morbid obesity is a disease.  Bariatric surgery is a tool, that when used effectively,  can help greatly in the management of this disease.
Intake Forms are available here.  Feel free to download and complete the necessary paperwork prior to your first visit.  Hardcopies of these forms are also available in the waiting room and can be completed on site.  Please allow about 1/2hr to complete the paperwork prior to your scheduled appointment time.
Universal Patient History
Universal Patient History
Bariatric Surgery Self Assessment Form
Bariatric Surgery Self Assessment Form
New Client Intake and Insurance Information
New Client Intake and Insurance Information
Client Rights Hipaa with Signature
Client Rights Hipaa with Signature
            MS WORD FORMS
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