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Forms

Please download and complete the Severe Obesity History Questionnaire.

The completed form should be returned to UI Obesity Surgery.

 

 

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University of Iowa Hospitals and Clinics
200 Hawkins Drive
Iowa City, Iowa 52242

Last modification date: Wed Jul 9 08:54:26 2008
URL: http://www.uihealthcare.com /depts/med/surgery/weightloss/forms.html