Obesity and Weight Loss

Can Gastrointestinal Procedures Help Reduce Obesity and Weight Loss?

Obesity and Weight Loss

Obesity and Weight LossDr. Alexander Mantas2024-08-18T14:58:17+00:00

Can Gastrointestinal Procedures Help Reduce Obesity and Weight Loss?

Dr. Mantas has expertise in achieving long-term sustainable weight loss employing with diet and exercise as the foundation. He advises on the use of various weight loss medications and is able to guide patients on modern bariatric surgical procedures and offer post-operative management. Lastly, Dr. Mantas has been involved in the development of novel non-invasive endoscopic bariatric techniques. In 2014 he participated in a multi-center study evaluating the effectiveness of the EndoBarrier – a liner that is endoscopically placed in the intestine creating a barrier between food and the intestinal wall.

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I understand that if any of the insurance information I have provided is incorrect or if I fail to notify the office of any insurance changes that I am responsible for all physician charges and non-covered medical services.

I hereby authorize the release of any medical information necessary for the process of insurance. I hereby assign all medical and/or surgical benefits to include major medical benefits to which I am entitled to Alexander Mantas, MD, PA, Digestive Health Associates of Texas, PA and Digestive Health Management Endoscopy Centers. This assignment will remain in effect until revoked by me in writing. A photocopy of this agreement is to be considered as valid as an original. I have received the Notice of Privacy Practices.

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COVID-19
Dr. Mantas is seeing patients virtually through telemedicine appointments via Apple Facetime and Google Duo.
Patients are required to be pre-screened before all physical appointments and procedures.
To get the latest on COVID-19 please visit www.coronavirus.gov.

Obesity and Weight Loss

Can Gastrointestinal Procedures Help Reduce Obesity and Weight Loss?

Obesity and Weight Loss

Can Gastrointestinal Procedures Help Reduce Obesity and Weight Loss?

Appointment Request

Full Legal Name

Gender

Date of Birth

Email Address

Home Phone Number

Mobile Phone Number

Office Phone Number

Prior GI Work Up

Select Requested Procedure(s)

If Yes, please briefly describe your work up including all previous procedures and their dates and the gastroenterologist who treated you.

Referring Doctor (If Self Referral, Please Type "Self")

Primary Care Doctor

Primary Insurance Provider

Reason For Office Visit

Disclaimers

By Submitting This Form, Patient Agrees To All Terms, Conditions & Disclaimers!

Security Question

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