Thank for your interest in the Duke Weight Loss Surgery program.
Please complete this application to start the process. You will need your health insurance information and your primary care provider’s phone number to complete the form. All the information you provide on this secure site will be kept confidential, and will only be used by Duke Health to support your application.
Visit our weight loss surgery webpages to learn about our program, our weight loss surgeons, and if you're eligible for weight loss surgery.
* Indicates required field