To register for our streamline sleeve program, please complete the following forms with your GP.

Click button to download form.

GP LETTER

STREAMLINE SLEEVE QUESTIONAIRE

Once completed, scan or take a photo of your forms and email them to info@surgicalweightlosscentre.com.au

Be sure to include:

  • Completed Questionnaire
  • GP referral to Dr Jordaan
  • Confirmation of Private Health Insurance Coverage

We’ll then contact you to make an appointment.