Surgical Weight Loss Program
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1. Follow Up Survey

We are pleased to announce that Penn State Milton S. Hershey Medical Center has Bariatric Surgery Center of Excellence status with the American Society for Metabolic and Bariatric Surgery. Receiving this honor has established our commitment to maintaining the highest levels of performance in the field of bariatrics.

1. To maintain this accreditation, we need your help by having you answer the following survey questions:

To maintain this accreditation, we need your help by having you answer the following survey questions: First Name
Last Name
Date of Birth
Address 1
Address 2
City
State
Zip

2. What is your current weight?

What is your current weight?

3. Who was your surgeon:

Who was your surgeon: Cooney

Haluck

Rogers

Shope

4. Would you like to receive updates from our program via e-mail?

Would you like to receive updates from our program via e-mail? Yes

If yes, please specify your e-mail address:

Surgical Weight Loss Program Exit this survey >>

1. Follow Up Survey

Surgical Weight Loss Program
Exit this survey >>