Health Questionnaire for Weight Loss Surgery

Dr. Illan is one of a few certified surgeons in Tijuana, Mexico, that perform this type of bariatric surgery. Long-term weight loss averages from 60% to 80% of excess body weight within 12 months after surgery.

Take the first step to start your Weight Loss Journey

In order for Dr. Illan to determine whether you qualify for a bariatric weight loss surgery, we need you to fill out a Health History Questionnaire. Please note that for your convenience, we recommend installing Adobe Reader on your device to be able to easily work with the form.

Once you have completed the Health History Form, please take a moment to look over it one last time, to make sure that all questions have been answered accurately. It is very important for us to have a complete understanding of your health status as we help you to prepare for the surgery.

Watch hundreds of Testimonials

Our patients are more than happy to share their experience as they're living it at Hospital BC.

Watch hundreds of Testimonials

Our patients are more than happy to share their experience as they're living it at Hospital BC.

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