• Surgical Weight Loss Information Session Registration Form

    Please complete the form, below, to sign up for one of Lahey's upcoming Surgical Weight Loss Information Sessions.  

    Please note:
    All Surgical Weight Loss Info Sessions in Burlington take place from 6 to 7:30 pm on the second Monday of each month in the Alumni Auditorium at Lahey Hospital & Medical Center Medical Center (41 Mall Road, Burlington, MA 01805). Surgical Weight Loss Info Sessions at Lahey Outpatient Center, Danvers will take place from 6:30 to 7:30 pm in the Main Lobby.

     * Info Session Date and Location:   
     * First Name:   
     * Last Name:   
     * Address:   
     * City:   
     * State:   
     * Zip Code:   
     * Preferred Call-Back Number:   
     * E-mail Address:   
     * Date of Birth (MM/DD/YYYY):   
    Height (optional):   
    Weight (optional):