Intake & Registration

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Welcome to Georgetown Bariatrics!

We are thrilled you have chosen our program to assist you with your weight loss surgery journey towards better health.

This Intake and Registration application is the next step in our program. It seems like a lot, but we really do need all of the information so we can best assist you through this process. Please be accurate and thorough, some pages will not allow you to advance until all sections have been completed. Incomplete submissions may delay your process.

Click “Start my Registration” below to begin. The registration link will expire in 24 hours so create your account as soon as possible. Once you have created your account, you will be able to exit the registration and return at any time by going to and logging in with the user ID and password you created. This user ID and password will be used throughout the process.

We will contact you within 3-5 business days once you have completed your application.

If you have any questions please contact your advocate,
Phone #: