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Bariatric Seminar Registration

 Bariatric Surgery Center of Excellence 

Welcome to South Nassau

Weight Loss Surgery Seminar Registration

* - denotes a required field
 Registrant Information
* First Name * Last Name
* Date of Birth
   mm/dd/yyyy
 Age:  Gender Female Male
* Phone# * Email
Address City
State Zip
 Insurance Information
Name Other
Policy # Group ID
 Additional Information
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 Class Schedule for 2011
Select a class by clicking on a date below: 
Nassau County: South Nassau Communities Hospital
Thu, Jan 19, 12 6:00 PM Conference Room B and C
Thu, Feb 16, 12 6:00 PM Conference Room B and C
Thu, Mar 15, 12 6:00 PM Conference Room B and C
Thu, Apr 19, 12 6:00 PM Conference Room B and C
Thu, May 17, 12 6:00 PM Conference Room B and C
Thu, Jun 14, 12 6:00 PM Conference Room B and C
Thu, Jul 19, 12 6:00 PM Conference Room B and C
Thu, Aug 16, 12 6:00 PM Conference Room B and C
Thu, Sep 20, 12 6:00 PM Conference Room B and C
Thu, Oct 18, 12 6:00 PM Conference Room B and C
Thu, Nov 15, 12 6:00 PM Conference Room B and C
Thu, Dec 06, 12 6:00 PM Conference Room B and C
Queens: Sheraton/JFK Airport
Thu, Jan 12, 12 7:00 pm 132-26 South Conduit Ave, Jamaica, NY 11430
Thu, Mar 01, 12 7:00 pm 132-26 South Conduit Ave, Jamaica, NY 11430
Thu, May 03, 12 7:00 pm 132-26 South Conduit Ave, Jamaica, NY 11430
Suffolk: Huntington Hilton
Mon, Jan 23, 12 7:00 PM 598 Broadhollow Road, Melville NY 11747
Mon, Feb 20, 12 7:00 PM 598 Broadhollow Road, Melville NY 11747
Mon, Mar 19, 12 7:00 PM 598 Broadhollow Road, Melville NY 11747
Mon, Apr 23, 12 7:00 PM 598 Broadhollow Road, Melville NY 11747
Mon, May 21, 12 7:00 PM 598 Broadhollow Road, Melville NY 11747

 
 If you have any questions or need help completing this form, please call the Center for Weight & Life Management at (516) 374-8631.