Fill Out Pre-Screen Questionnaire

Patient Information Packet
Download our Pre-Screen Questionnaire 

Submit by Email
Email completed packet to: Kim.Franzen@mercyhealth.com.

Submit by Mail
Mail completed packet to:
Sartori Memorial Hospital
515 College Street, Suite 2800
Cedar Falls, IA 50613

We will review your Pre-Screen Questionnaire and contact you if we need more information. Once we have all of the information we need, we can begin the insurance coverage process before your consultation. We will call you when the insurance process is complete and we’re ready to schedule you for a one-on-one consultation.

If you have questions about the process, call us at 319.268.3990. 

Get Started

There are a few steps necessary to determine if weight loss surgery is the right option for you.

Get started online

or call us at

319-268-3990