Patient Portal – Forms for Your Visit

Please download and fill out all of these forms in their entirety before your first appointment or attending your bariatric surgery seminar.


Medical History



© 2014, Dr. Nick H. Gabriel. All Rights Reserved.
Bariatric Surgeon Dr. Nick H. Gabriel, D.O., serving Hauppauge, Southampton, Smithtown, Commack,
Port Jefferson, Bay Shore, Patchogue, Riverhead, Bridgehampton, East Hampton and the surrounding area.