Common Contracts
1 similar null contracts
Bariatric Surgery Patient Responsibility FormMay 28th, 2008
(Initial if nicotine-free) Nicotine Agreement: I agree not to use nicotine or vape. I understand that I am required to be nicotine free/not vaping and remain nicotine free/not vaping for a period of three (3) months before bariatric surgery. I also acknowledge that I will be required to complete nicotine tests to see if there’s nicotine in my system. I understand that if I do not comply with the screening in the given amount of time, the team may remove me entirely from consideration for surgery.
