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LoneStar Bariatrics
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(972) 232-7171
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Share Your Story
Share Your Story
Name
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First
Last
Consent
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I allow Lonestar Bariatrics to use the information below on the website and other social media platforms
Pre-Surgery Weight
Post-Surgery Weight
Surgery
(Required)
1. How did you hear about LoneStar Bariatrics?
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2. Tell us about how your physical health and / or mental health has improved.
(Required)
3. What are you able to do since you’ve lost weight that you couldn’t do before surgery?
4. Total Weight Lost – How much weight did you lose in the first 3 months post-surgery? 6 months? A year?
(Required)
5. What was your overall impression of Dr. Carlton and his staff?
6. Additional comments you would like to share.
7. Before and After Photos
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Before/After Photos you would like to share – please send in original format no pic collage or cut pics:
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Max. file size: 50 MB.
8. Videos
Videos you would like to share – if you want to video yourself answering the questions above – our marketing team will work their magic and compile (optional):
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