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Bariatric Program
Qualification and Application Request

To qualify for bariatric surgery, candidates must meet a minimum qualification for weight loss surgery which is:

  • A Body Mass Index (BMI) (determined by the ratio of weight to height) of 40 or greater,
    • Use the BMI Calculator at the bottom of this page to learn your BMI
  • Or a BMI of 35 and above with documented, significant obesity-related conditions such as :
    • Diabetes, Hypertension, Obstructive Sleep Apnea 

Other criteria include:

  • Absence of any uncontrolled disease or disorder that may cause weight gain
    (Untreated hypothyroidism, Cushing’s syndrome, etc.)
  • Absence of any untreated major psychiatric or eating disorder
    (Untreated depression, psychosis, bulimia, anorexia nervosa, etc.)
  • No active substance abuse
  • History of obesity (five years or greater)
  • Documented unsuccessful attempts at non-surgical weight loss
  • 21 years of age or older
  • Ability to follow dietary, exercise and behavioral recommendations

How to Apply

If you determine that you meet the minimum qualification for weight loss surgery listed above:

  • Using the BMI calculator below do you have a BMI of 40 or greater?
  • Using the BMI calculator below, do you have a BMI of 35 to 40 and have any of the following co-morbidities:
    • Diabetes
    • Hypertension
    • Obstructive Sleep Apnea

To request an application, please complete the online application request form or call the application line at 716- 859-2067 and leave your full name, mailing address, e-mail address, and phone numbers.

We will contact you by email with information on how to complete the full application process.

Gender:
Height: '"
Weight: lbs
BMI:
Ideal Weight: - lbs
Assessment:

 

 

 Ideal Body Weight Chart

Male    Female
Height Ideal Weight Height Ideal Weight
4' 6" 63 - 77 lbs. 4' 6" 63 - 77 lbs.
4' 7" 68 - 84 lbs. 4' 7" 68 - 83 lbs.
4' 8" 74 - 90 lbs. 4' 8" 72 - 88 lbs.
4' 9" 79 - 97 lbs. 4' 9" 77 - 94 lbs.
4' 10" 85 - 103 lbs. 4' 10" 81 - 99 lbs.
4' 11" 90 - 110 lbs. 4' 11" 86 - 105 lbs.
5' 0" 95 - 117 lbs. 5' 0" 90 - 110 lbs.
5' 1" 101 - 123 lbs. 5' 1" 95 - 116 lbs.
5' 2" 106 - 130 lbs. 5' 2" 99 - 121 lbs.
5' 3" 112 - 136 lbs. 5' 3" 104 - 127 lbs.
5' 4" 117 - 143 lbs. 5' 4" 108 - 132 lbs.
5' 5" 122 - 150 lbs. 5' 5" 113 - 138 lbs.
5' 6" 128 - 156 lbs. 5' 6" 117 - 143 lbs.
5' 7" 133 - 163 lbs. 5' 7" 122 - 149 lbs.
5' 8" 139 - 169 lbs. 5' 8" 126 - 154 lbs.
5' 9" 144 - 176 lbs. 5' 9" 131 - 160 lbs.
5' 10" 149 - 183 lbs. 5' 10" 135 - 165 lbs.
5' 11" 155 - 189 lbs. 5' 11" 140 - 171 lbs.
6' 0" 160 - 196 lbs. 6' 0" 144 - 176 lbs.
6' 1" 166 - 202 lbs. 6' 1" 149 - 182 lbs.
6' 2" 171 - 209 lbs. 6' 2" 153 - 187 lbs.
6' 3" 176 - 216 lbs. 6' 3" 158 - 193 lbs.
6' 4" 182 - 222 lbs. 6' 4" 162 - 198 lbs.
6' 5" 187 - 229 lbs. 6' 5" 167 - 204 lbs.
6' 6" 193 - 235 lbs. 6' 6" 171 - 209 lbs.
6' 7" 198 - 242 lbs. 6' 7" 176 - 215 lbs.
6' 8" 203 - 249 lbs. 6' 8" 180 - 220 lbs.
6' 9" 209 - 255 lbs. 6' 9" 185 - 226 lbs.
6' 10" 214 - 262 lbs. 6' 10" 189 - 231 lbs.
6' 11" 220 - 268 lbs. 6' 11" 194 - 237 lbs.
7' 0" 225 - 275 lbs. 7' 0" 198 - 242 lbs.