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Midsouth Bariatrics fax number

(901) 869-2009

Bariatrics

Used for: Submission of bariatric intake forms and related medical documents; appointment requests and communications.

Fax destination details

Department
Bariatrics
Purpose
Submission of bariatric intake forms and related medical documents; appointment requests and communications.
Form
Health History Questionnaire — Bariatric Health History Questionnaire
Address
6029 Walnut Grove Road, Suite 100, Memphis, TN 38120
Voice phone
901-869-2000

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
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Fill out the health history questionnaire and fax to 901-869-2009.

Official form instructions are published as a downloadable file on the organization's website.

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