Pre-Surgical Assessments & Reports
Lirpa Health – Supporting your mind, every step of the way.
Pre-Surgical Assessments & Reports
Assessments are done for people in the following states: OK, IL, TX, MT, CA, OR, NE, OH, AL
At LirpaHealth, we provide comprehensive pre-surgical psychological assessments and reports to help individuals prepare for life-changing medical procedures. These evaluations are often required by surgeons or insurance providers before approving surgeries such as bariatric (weight loss) surgery, organ transplants, or gender-affirming procedures.
Our licensed clinicians ensure every report is detailed, professional, and tailored to meet clinical and surgical team requirements.
Thorough, trusted assessments for life-changing procedures
We understand that surgery is not just a physical decision—it’s a deeply personal and emotional journey. That’s why our team is committed to offering a safe, non-judgmental environment where you can openly discuss your goals, concerns, and expectations. Your well-being is our priority.
Pre-surgical evaluations for pain procedures & bariatric assessments. Charge $180 for Pre-surgical evaluations which includes a report. Payment plans and sliding scales payments are available.
Bariatric weight management & Chronic pain management Individual sessions $90/session.
Insurance is not accepted at this time for pre-surgical assessments & reports
To get started
Registration – complete personal and insurance information.
Insurance is not accepted at this time for assessments and the reports. We will check your insurance benefits for out of network mental health coverage and find out if we can accept your insurance only after you complete your registration. We can help determine your out-of-pocket expense, if any. There is no cost to complete the insurance verification form which is our registration form. You will only pay the day of your appointment for services. If have any questions please call us or email us at 1-855-547-7248 or admin@lirpahealth.com
1. Registration
Complete the registration and insurance verification form on this page. Complete all that you can on the form.
After you complete the form you will be directed to complete a questionnaire. Make sure to complete all the questions on the questionnaire as best as you can. Make sure to complete all of the information at one time using your mobile phone, laptop, or desktop computer.
3. Schedule
The last step is to schedule your clinical interview and assessment. Please let us know your home state and address and you can search for providers available slots. You will be matched with a doctorate or master’s level therapist who is licensed in your state so that you can pick an available slot and confirm the appointment. Before your appointment, you will receive a reminder and instructions for your appointment. Make sure to have good internet access before your appointment. You are suggested to test Please plan to be somewhere with adequate Internet connectivity (preferably Wi-Fi) and access to a phone, tablet, laptop, or desktop with a video camera turned on. Before to your appointment we will reconfirm your date and time you will receive a secure weblink that you will use at the time of your appointment to get started and connect with your assigned mental health therapist. We use a confidential, private HIPPA-compliant audio-video online appointment room.
Get Started NOW with the registration/insurance verification form. If you have any questions or need assistance with the process please call us at 877-583-5633.
Add a contact form that is titled : patient verification/insurance verification form. The form will be a contact form to include the following: referring physician name, address, & contact number/clinic/surgeon information, name, email address, phone number, address, city, state, zip code, date of birth, enter your insurance company name, subscriber name, insurance company group number, subscriber ID, insurance customer service number (back of the insurance card), do you have secondary insurance? (Add notes section where they enter the secondary insurance information if they say yes), select the procedure that your physician recommends: bariatric/weight loss surgery, spinal cord stimulator/peripheral nerve stimulator, intrathecal pump, bariatric post-op counseling, spinal fusion/laminectomy.
Click here next to complete the intake form: (put a different contact form here that sends data to admin@lirpahealth.com). Here’s the form fields for data to be collected:
Pre-surgergical weight/bariatic surgery intake form:
Name (as on insurance card)
Address (city, state, zip code)
Age
Date of birth
Include the instructions and questions for this form but leave off the name & scoring since we will do the scoring during appointment: https://nida.nih.gov/sites/
Include the instructions and questions for this form but leave off the name & scoring since we will do the scoring during appointment: https://gwep.usc.edu/wp-
Include the instructions and questions for this form but leave off the name scoring since we will do the scoring during appointment: https://www.apa.org/Include the instructions and questions for this form but leave off the scoring since we will do the scoring during appointment: depression-guideline/patient-
Include the instructions and questions for this form but leave off the name and scoring since we will do the scoring during appointment: https://adaa.org/sites/
Include the instructions and questions for this form but leave off the name and scoring since we will do the scoring during appointment: https://www.eat-26.com/eat-26/
Pain assessment intake form:
Name (as on insurance card)
Address (city, state, zip code)
Age
Date of birth
Include the instructions and questions for this form but leave off the name and scoring since we will do the scoring during appointment: https://nida.nih.gov/sites/
Include the instructions and questions for this form but leave off the name & scoring since we will do the scoring during appointment: https://gwep.usc.edu/wp-
Include the instructions and questions for this form but leave off the name and scoring since we will do the scoring during appointment: https://www.apa.org/Include the instructions and questions for this form but leave off the scoring since we will do the scoring during appointment: depression-guideline/patient-
Include the instructions and questions for this form but leave off the name and scoring since we will do the scoring during appointment: https://adaa.org/sites/
Include the instructions and questions for this form but leave off the name and scoring since we will do the scoring during appointment: https://www.oregon.gov/oha/
Include the instructions, questions, and rating scales : https://static.medicine.iupui.
Would you like to receive text messages about general services information and getting started? If so, click here and provide your mobile cell phone number.
- Bariatric Surgery
- Spinal Fusion/Laminectomy:
- Spinal Cord Stimulators/Peripheral Nerve Stimulators/Intrathecal Pump/Intracept Procedure
- Cognitive Behavioral Therapy
- Chronic Pain counseling