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Your medical questionnaire

About 5 minutes. Your answers go to the specialist, so we can confirm whether the procedure is safe for you and send you a full quote and dates.

🔒 Confidential✓ Reviewed by a doctor✓ Reply within 24 hours

About you

So we know who we're talking to and where to send your answer.

Body & health

Your height, weight and any weight-related conditions.

Your BMI: …
Do you have any chronic or acute disease, especially connected with overweight? *
Do you have any of the diseases below? *

Medical history

These answers help the surgeon and anaesthetist plan safely. Everything stays confidential.

Do you have now, or did you have in the past, any psychiatric disease? *
Have you ever visited a psychiatrist? *
Have you ever had any surgical procedures? *
Have you ever had a blood transfusion? *

Allergies & medication

Important for your anaesthesia and aftercare.

Do you have any allergies? *
Do you have any allergy to medication? *
Do you use any medications on a regular basis? *

What you've tried

There are no wrong answers. Most of our patients have tried many things before.

Have you tried to lose weight using weight-reducing drugs or over-the-counter medications? *
Have you tried to lose your weight using a diet? *
Have you tried to lose weight through sport activities? *

Your procedure

Not sure? That's fine. The specialist will recommend the best option for you.

Which operation would you like? *

Thank you

Your questionnaire has been sent to our team. The specialist reviews it and your coordinator replies within 24 hours with your answer, a full quote and available dates.

Questions in the meantime? Email balticbariatric.group@gmail.com.

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Your information is handled confidentially and used only to assess and organise your treatment. Health details are shared only with the treating clinic. Privacy policy · Terms · Cookie settings
SIA "Baltic Medical Group" · Reg. No. 50103334781 · Viestura prospekts 11-9, Riga, LV-1005