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)

Submitting Your Form

Fax your completed form to the desired site. If you have any questions or need help making a referral, call us directly. 

Fort Smith, AR

  • Bariatric Surgeons: Darryl W. Eckes, MD; Christopher Coleman, MD; Jonathan Ferrari, MD
  • Fax: 479-314-5731
  • Bariatric Coordinator: Shirley Bearden
  • Office Phone: 479-314-2561

Northwest Rogers, AR

  • Bariatric Surgeon: Mark Perna, MD
  • Fax: 479-464-7734 
  • Bariatric Coordinator: Shawnna Grigsby
  • Office Phone: 479-338-2266

Jefferson/Festus, MO

  • Bariatric Surgeons: Jay Snow, MD; Kumaran Chinnappan, MD; Gregg A. Ginsburg, MD
  • Fax: 636-933-8200
  • Bariatric Coordinator: Judy Skaggs
  • Office Phone: 636-933-8135

Joplin, MO

  • Bariatric Surgeon: Danny Liu, MD
  • Fax: 417-781-5845
  • Bariatric Coordinator: Ann Payne
  • Office Phone: 417-781-4404

Springfield, MO

  • Bariatric Surgeon: Christopher Edwards, MD
  • Fax: 417-820-9315
  • Bariatric Coordinator: Tracy Williams
  • Office Phone: 417-820-3282

Washington, MO

  • Bariatric Surgeon: Lisa Martin Hawver, MD
  • Fax: 636-861-7899
  • Bariatric Coordinator: Carmen Jaco
  • Office Phone: 636-861-7891

Eligibility Criteria

In order to be eligible for bariatric surgery, you must have a:

  • 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.

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