Billing & Financing New Patient Forms Contact Us 936-441-3133
Dr. Wilkenfeld Texas Gastric Bariatrics

New Patient Forms


Download Form

Medical Records Release Form

Print and fill out a release form and bring with you to our next seminar or your first office visit so we can secure your medical history.

Download Form

Patient Questionnaire Form

Print and fill out a questionnaire form and bring with you to our next seminar or your first office visit so we can get to know more about you.

Download Form

Financial and Insurance Information

Review the ins-and-outs of determining insurance coverage and other financial considerations.

Lap-Band Offer
Let's Talk

I contacted Dr. Wilkenfeld about the LapBand. I chose the LapBand because it is of low risk and short recovery time after the surgery. The two changed my life. After only 8 month I am off all diabetic medications, high blood pressure and the C-Pap Machine. I have dropped 6 pant sizes and 3 shirt sizes. I have more energy and can exercise more because of my weight loss. I feel great because I chose to have the lapBand procedure. I highly recommend it to anyone wanting to change his or her life for the better.

LAURIE