All new patients complete and return the New Patient Forms. Once we receive the completed forms and confirm your informational session attendance, we will contact your insurance company to verify your coverage and then contact you to schedule your initial consultation.

These forms can be returned prior to your scheduled event or within 7 days after your informational session. If you submit your forms electronically, please retain the original copy and bring it with you to your initial consultation.

For your convenience, new patient forms are available for download. Once downloaded, you can fill in the form on your computer before printing out. Completed forms can be faxed, mailed, dropped off at our office or by using the upload feature below. Please include a copy of your insurance cards (both sides) and photo ID. If you have trouble downloading the forms, please let us know. We look forward to working with you!

FAX:         228.818.3978


South Mississippi Surgical Weight Loss
1124 Oakleigh Road
Ocean Springs, MS 39564

In-Person & Online Seminar
Weight loss surgery can improve and allow for a better quality of life.As you lose excess weight.You will have more energy and feel proud of the way you look..Know More
Success Stories
Check out some of our Patient Success Stories. Know More
Payment Options
Whether you have insurance coverage, are paying cash, or are considering financing your surgery costs, we have options available for everyone. Know More