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Weight Management Referring Physicians
referring weight-loss surgery patients

Referring Physicians

​​If you are a primary care or specialist physician with a patient seeking a surgical weight-loss option, the appropriate referral forms are below. 

SSM Health Weight Management Services in Illinois has an experienced bariatric surgeon that provides two laparoscopic bariatric surgery options to fit your patient's weight-loss goals. Our surgeon has completed more than 500 weight-loss surgeries with a proven track record of quality outcomes. SSM Health Weight Management Services also provides support programs to assist patients on their journey to improved health. No matter what your patient’s health goals, SSM Health Weight Management Services is dedicated to providing your patients quality care and delivering results.

All surgical procedures are performed at SSM Health St. Mary's Hospital - Centralia.

How To Refer Patients to SSM Health Weight Management:

    1. Call our office at 618-436-8300 and provide information via phone.
    2. Fax form to 618-436-6105. 
​SSM Health Weight Management Services wi​ll contact your patient by the end of the next business day upon receipt of the completed referral form. ​

If you have any questions, please call our office directly. Thank you!