Bariatric Seminar Online Registration

You can easily register online for one of Covenant Health’s upcoming bariatric seminars! Once you submit your information, you’ll receive confirmation of your registration via email. You will also receive a follow-up call several days before the seminar reminding you of your reservation.

Bariatric Seminar Registration

Name*
First Last
Date of Birth (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
City*
Phone*
Email*
Weight*
Feet*
Inches*
Bariatric seminars are held at Fort Sanders Regional Medical Center and Parkwest Medical Center. Seminars at Fort Sanders Regional are held at 6pm in Classroom 1, located on the lobby level of the hospital. Seminars at Parkwest Medical Center are held at 5:30pm in the Physician Plaza's Holston classroom.
Select a seminar:*
Required:*
- I understand and agree that, based on my preferences, my information will be shared with an independent physician practice that will contact me with more information about whether I am an appropriate weight-loss candidate.
Required:*
- While Covenant Health’s websites are secured to very high standards, your information may be visible or accessible during transmission over the internet depending on the configuration of the device and network you are using to access this website. It is recommended you use a computer that is running a current and fully updated operating system and reputable anti-virus/internet security software that receives automatic updates. You should never exchange sensitive information when connected to an unsecured, public Wi-Fi network.
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