Weight Loss Surgery Wallet Card

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Food Service
Food Service
Food Service
Medical Request
Medical Request
Medical Request
The holder of this card has undergone gastric
The holder of this card has undergone gastric
The holder of this card has undergone gastric
bypass surgery that reduces the size of their
bypass surgery that reduces the size of their
bypass surgery that reduces the size of their
stomach and reduces the portion sizes they
stomach and reduces the portion sizes they
stomach and reduces the portion sizes they
can eat. Please allow them to purchase a
can eat. Please allow them to purchase a
can eat. Please allow them to purchase a
smaller serving or order from the child/senior
smaller serving or order from the child/senior
smaller serving or order from the child/senior
menu.
Thank you!
menu.
Thank you!
menu.
Thank you!
For More Information:
For More Information:
For More Information:
Surgery:
Date:
Surgery:
Date:
Surgery:
Date:
Doctor:
Doctor:
Doctor:
Hospital:
Hospital:
Hospital:
Website:
Website:
Website:

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