Physician Referral

Bariatric Surgery Referrals Made Easy

As a physician or advanced practitioner, you have an opportunity to help morbidly obese patients improve their health and quality of life.

Recent studies have shown that for most patients many related health problems are resolved or significantly improved following surgical weight loss.

Mercy clinicians may enter orders directly into EPIC: Referral 1055: AMB Referral to Bariatric Surgery
In Springfield and NWA, you can also refer to: Referral 1052: AMB Referral to Weight Management Program (New Images)

Providers who do not have access to EPIC should complete the referral form below and fax it, according to the contact information provided, to the desired bariatric clinic.

Submitting Your Form

Fax your completed form to the desired site:


Bariatric Surgeon(s)

Fax Number

Bariatric Coordinator

Office Telephone Number

Fort Smith, Ar.

Darryl W. Eckes, MD

Christopher Coleman, MD

Jonathan Ferrari, MD



Shirley Bearden


Rogers, Ar.

Mark Perna, MD

479-464-7734 Attn:  Zach Merrill

Shawnna Grigsby


Festus, Mo.

Jay Snow, MD

Kumaran Chinnappan, MD

Gregg A. Ginsburg, MD


Judy Skaggs


Joplin, Mo.

Danny Liu, MD


Ann Payne


Springfield, Mo.

Christopher Edwards, MD


Tracy Williams


Washington, Mo.

Lisa Martin Hawver, MD


Carmen Jaco


Call us directly if you have questions or need help making a referral.

Eligibility Criteria

  • Body Mass Index (BMI) of 40 or above or
  • BMI of 35-40 with one or more co-morbid conditions directly related to weight

Co-morbid conditions directly related to weight include, but may not be limited to:

  • Sleep apnea
  • Hypertension
  • Arthritis/degenerative joint disease
  • Congestive heart failure
  • Gastroesophageal reflux disease
  • Urinary stress incontinence
  • Polycystic ovarian syndrome
  • Asthma or COPD
  • Diabetes mellitus type II
  • Cardiovascular disease
  • Hypercholesterolemia
  • Non-alcoholic steatohepatitis
  • Lower extremity venous stasis
  • Depression

Procedures Offered

We offer minimally invasive laparoscopic surgical approaches for:

  • Roux-en –Y  Gastric Bypass
  • Sleeve Gastrectomy
  • Lap Band
  • Revision surgery on a case by case basis

Our multidisciplinary bariatric surgery team supports patients through every step of their life-changing journey, to lay a foundation for behavior change that leads to permanent weight loss.