(516) 259-2525
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Bariatric Questionnaire

Do I qualify for weight loss surgery?

Start Your Weight Loss Journey Today

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Bariatric Questionnaire

1. Have you thoroughly explored other treatments for obesity?
2. How much weight do you want to lose?
3. What's Your Body Mass Index
(Calculate your BMI)
4. Do you have any weight-related health issues
(diabetes, hypertension, sleep apnea, joint problems, etc)?
5. Do you currently have insurance? If so, what insurance company?
First Name
Last Name
Email
Phone Number
Name of Insurance


Clarity Surgical and Hot97’s TT Torrez Testimonial

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Long Island's Premier Provider of Weight Loss Surgery

  • Dozens of 5-Star Reviews on Google, Healthgrades.com, Facebook & Yelp

  • We accept most traditional insurance plans.

  • Medicare & Medicaid accepted.

  • Over 6 years experience with hundreds of surgeries completed.

  • American Society for Metabolic and Bariatric Surgery, American College of Surgeons.


What our patients are saying...

“Dr. Thompson is a great doctor. I highly recommend him! He did my gastric sleeve surgery 2 years ago and I feel great like a new person thanks doctor Thompson Many blessings……”
Lissette Sanchez

“Very informative and knowledgeable. If you’re thinking about weight loss surgery, give them a call. Dr. Thompson will guide you to the right surgery and answer all your questions. Even 3yrs post op, he has been here for me and helped me along my journey.”
Frankie J


Form submitted successfully!

Thank you for submitting your information.

You qualify for Medical Weight Loss, the Orbera gastric balloon, the Gastric Bypass, or the Sleeve Gastrectomy.

​​​​​​​One of our staff members will call you shortly to help you schedule your consultation. If you have questions in the interim, please contact us at (516) 400-4509. We look forward to beginning your journey together!

Form submitted successfully!

Thank you for submitting your information.

You qualify for Medical Weight Loss, the Orbera gastric balloon, the Gastric Bypass, or the Sleeve Gastrectomy.

One of our staff members will call you shortly to help you schedule your consultation. If you have questions in the interim, please contact us at (516) 400-4509. We look forward to beginning your journey together!

Form submitted successfully!

Thank you for submitting your information.

You qualify for Medical Weight Loss, the Orbera gastric balloon, the Gastric Bypass, or the Sleeve Gastrectomy.

One of our staff members will call you shortly to help you schedule your consultation. If you have questions in the interim, please contact us at (516) 400-4509. We look forward to beginning your journey together!

Form submitted successfully!

Thank you for submitting your information.

You qualify for Medical Weight Loss, the Orbera gastric balloon, the Gastric Bypass, or the Sleeve Gastrectomy.

One of our staff members will call you shortly to help you schedule your consultation. If you have questions in the interim, please contact us at (516) 400-4509. We look forward to beginning your journey together!

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    Huntington Station Location 33 Walt Whitman Rd., Suite 300B, Huntington Station, NY
    Brooklyn Location 124 9th St., Suite 234 Brooklyn, NY
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