Patient Forms

To view and print the RMAP forms and patient instruction information click on the links above.

The “Patient Information” provides you with instructional information of how to obtain weight loss surgery through Rocky Mountain Associated Physicians. This also includes information on the costs of surgery and surgeons.

The “Patient Forms” is the required paperwork that must be completed. If you are seeking authorization from your insurance company, these forms will need to accompany all your medical record and diet attempt information. Please submit all your paperwork together. Contact your insurance to understand their approval requirements and criteria.

If you live within 200 miles of Salt Lake City you will be required to attend the Risks and Benefits of Weight Loss Surgery class taught frequently each week. To RSVP call RMAP at 801-268-3800 or 800-999-9970. To see current class times click here www.utahbariatrics.com/freeinfo.php.