Patient Forms

New Patient Forms

These forms are ONLY for new patients who have already scheduled an appointment. 

• Bariatric Patient Questionnaire
• General Patient Questionnaire

If you would like to schedule an appointment, please call us at (713) 493-7700 or get started here with a Free Insurance Check.

Medical Record Release Forms

• Medical Record Release – Dr. Scarborough
• Medical Record Release – Dr. Yu
• Medical Record Release – Dr. Mehta
• Consent To Release Information

Other Forms

• TLC Pre-Surgical checklist
• TLC Media Consent
• Nutrition and Weight Loss Surgery Post Test