Bariatric Services

Richard Sethre, PsyD, LP has provided psychological services to people with  excessive weight for over 20 years. He has provided over 2,000 pre-surgery psychological  assessments to help bariatric patients get cleared for surgery and to get a good outcome from their surgery.  He is a member of the American Society for Metabolic and Bariatric Surgery and has provided presentations about baritaitric surgery for Minnesota Psychological Association conferences and workshops.

Paperwork for the first pre-surgery psychological assessment appointment.  Please download, print and fill out the forms as best you can. The first two are Word documents.  You may download the documents, print them and fill them out by hand.  You may need to click on “enable editing” or something like that, on the download to enable printing and, if you desire, completing the forms on your computer. The last ones are PDFs, and must be printed and completed by hand.  Do not complete the one for mental health if you are not currently seeing a mental health clinician (psychiatrist, therapist/counselor, or treatment program). 

17, Intake Documents – (Word documents) routine forms with demographic info, insurance info, and privacy info.  Please fill them out as best you can, and Dr. Sethre will review them at the beginning of your appointment to help with any questions you have.

17-bariatric-intake-form- (Word documents) please complete it as best you can. Dr. Sethre will use the information on this form as part of the interview for the first appointment.

2017 BARIATRIC COORDINATION OF CARE FORMS – (PDF) these forms authorize Dr. Sethre to obtain information from your other medical providers, if needed, and to send a copy of his clearance report to them (with your authorization, of course).  There are three forms: 1. Mental health professional (if you are seeing a therapist or psychiatrist). 2. Primary care provider (family doctor, nurse practioner, physcian’s assistant) and 3.  Bariatric program.  Please fill out the ones that apply to you. You are welcome to discuss any privacy concerns with Dr. Sethre at your first appointment.


Here are  3 brief videos about working with a bariatric psychologist and the pre-surgery psychological assessment.  These videos are for people who are considering applying for bariatric surgery and for bariatric patients who are working on getting cleared for surgery.

MHConcierge owns the rights to these videos, which are protected by copywrite.