Patient Forms

At Bariatric Care Centers, we are committed to providing a high-quality experience for all of our Houston weight loss surgery patients. We encourage you to download and complete the forms below prior to your appointment at our practice so that your appointment can run as smoothly as possible. Should you have any questions, please contact us at 713-339-1353.

New Patient Documents

Disclaimer: All weight loss claims are due to surgery and before and after care. Results will vary by person and are based upon the patient, the surgery type and the compliance with the aftercare program. As with any Medical procedure or surgery, there are specific risks and possible complications. If you have specific questions about the procedure we suggest you arrange for a consult with the Doctor.

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Why Choose Us

  • Surgeon Qualifications-Board Certified Fellowship Trained in Bariatric Surgery
  • Fellow of the American College of Surgeons.
  • Fellow of the American Society for Metabolic and Bariatric Surgery; FASMBS.
  • Designation as a “Fellow of the American Society for Metabolic and Bariatric Surgery” demonstrates commitment to excellence
  • Dr. Mirza is the Medical Director of Bariatric Surgery at a Houston Center Of Excellance.
  • Excellent Long-Term Track Record of Safety
  • Over 15 Years Experience
  • 1,000's of Successful Safe Bariatric Surgeries Performed
  • Most of our patients are referrals from existing patients
  • Comprehensive approach to weight loss surgery with continued follow-up.
  • Yearly Laboratory Testing to Optimize Patients Health
  • Using only Center Of Excellence Hospitals for Surgery.
  • To assist him in surgery Dr. Mirza uses Highly trained and skilled surgeons and Licensed Assistants.
  • Dr. Mirza will spend time with you and evaluate you personally, at the office and at the hospital.