Dr. Richard Collier LAP-Band Specialist
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Dr. Richard Collier - Weight Loss Surgery Specialist


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We understand that your time is important. In order to minimize the time spent at your appointment filling out paperwork, we have made these forms available here for you to fill out in advance at your convenience.

 

Print and complete the forms shown to the left.
You will need to bring the following for your appointment:

  • Completed patient information forms
  • Your insurance card
  • List of all prescriptions and over-the-counter medication that you are currently taking
  • List of all questions and/or concerns that you may have.
We look forward to your visit. Feel free to contact the office with any questions.

Copyright © 2007-2010 Richard E. Collier, Jr., M.D., P.A. All rights reserved.
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