Plastic & Reconstructive Surgery Health Questionnaire
In order to provide you with a formal and accurate plastic and reconstructive surgery quote, an evaluation of your case is required. Please complete the following information so Dr. Galvez and our medical team can better assess your case.

Please Note: When you submit your questionnaire, you can rest assured that your information is protected by one of the most trusted names in internet security and that all information submitted via our web forms is transmitted privately and safely.
start
press ENTER
{{answer_67708042}}, thank you for completing your plastic surgery questionnaire for {{answer_67695017}}! Dr. Galvez and his medical team will review your information and we will reach out to you within 24-72 hours.

If you have any questions, please feel free to contact us Toll-Freee at (844) 957-3325 or via email TeamMX@BariatricPal.com .

We look forward to seeing you soon!