Pre-Screening Form

Bariatric Services

Welcome to Memorial Bariatric Services,the Experts in Bariatric Surgery.

Central Illinois: (217) 788-3948

Toll Free: (866) 205-7915

For those who struggle with obesity, dieting and exercise alone are not enough to lose and maintain substantial weight loss to improve their health. Weight-loss surgery, or Bariatric Surgery, along with lifestyle changes, may be the holistic approach to achieving and maintaining great health.

Our mission at Memorial Bariatric Services in Springfield, Illinois, is to improve the lives of the people in the community we serve. And we do that by jump starting your success to an overall healthy, active life through bariatric surgery.

We understand this is a life-changing decision for you. We are here to help guide you through the process to a healthier, happier you.

Blessing Hospital Advocate BroMenn Memorial Medical Center Decatur Memorial Hospital

Prepare to be a Memorial Bariatric Services patient in three easy steps:

  1. Create an account.
  2. Fill out a secure online form that will inquire about your current health status. This online pre-screening form must be filled out to enter our program. We will contact you after you complete this form before you can proceed to step 3.
  3. Complete our online orientation, which consists of watching four videos about weight-loss surgery and taking quizzes after each video.

If you need help accessing this form or don’t have access to computer, please call us at (866) 205-7915, and we will help make accommodations for you.

  • Register/Login
  • Pre-Screening
  • Review
  • Orientation