Getting Ready for Your Weight Loss Clinic Appointment

Our weight loss clinic and aesthetic treatment center offers surgical and non-invasive procedures to help our patients improve their quality of life. Thank you for choosing Cernero Surgery & Aesthetics. Dr. Cernero performs several general surgery procedures such as gallbladder removal, endocrine, breast cancer, gastroparesis and abdominal surgeries in Sherman, TX. Click on the link below to save/and or download the necessary form for your upcoming visit to our clinic. If you have any questions about the forms, please feel free to e-mail us at: info@cernerosurgery.com or give us a call at 903.462.4247.

Getting Ready for Your General Surgery Appointment

Please arrive at least 15 minutes before your scheduled appointment time and be sure to have the following items available for reference:

Health insurance card
Photo ID
Completed patient forms
Immunization records (if available)
A current list of your medications

Looking for more information? Check out our patient resources page.

Patient Forms

Administrative Forms

Authorization for Release
Patient Consent

Financial Assistance

Prosper Healthcare Lending
Care Credit

Insurance Verification Form

FIRST NAME*

LAST NAME*

PHONE*

EMAIL*

WHAT PROCEDURE ARE YOU CONSIDERING?*

METHOD OF PAYMENT*

Insurance Company

Insurance Group #

Insurance ID #

Insurance Phone #

Date of Birth*

WEIGHT*

HEIGHT FT*

IN*

COMMENTS

This field should be left blank

Please wait...