Anemnesis Form

Please Fill The Form

Name and Surname:

Country:

City:

Select Gender:

Select Gender

Select Gender
Male
Female

Age:

Height:

Select Height Unit

Select Height Unit
CM
Inches

Weight:

Select Weight Unit

Select Weight Unit
KG
Pounds

Body Mass Index:

Demand Weight Loss:

Demand Operation:

Additional Diseases:

Past Operations:

Drugs Used:

Blood Tests:

Diet and Exersice History:

Offer Price:

Healmedy provides you variety of medical services. Bariatric Surgery is one of the most important one that we offer our patients. If you need any help about some medical services. You can reach us about it

Turkish Bariatric Surgery is subsidiary of Healmedy

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