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Ready to get started?

We’ve got all the info you’ll need! Visit our FAQ page to get answers to your questions, or dive right into the forms you’ll need to going.

Forms

After scheduling your consultation, please read the HIPAA statement and fill out a health history form (online) and a patient registration form (print and bring with you to your appointment):

Read:
HIPAA
Please read our statement on patient privacy. You do not need to print it and bring it with you to your appointment.

Fill Out:
Medical History Form
You will need a Patient ID and a password, which will be given to you when you schedule your appointment. If you have lost or forgotten them, please call 561-3488.

Download:
Patient Registration Form
Please download and print this patient registration form. Fill it out and bring it with you to your appointment.

Insurance

We will bill primary insurance for patients whose insurance covers weight management. As of January 2017,Ā Federal Blue Cross, ASEA – Local 52, IBEW, NEA/Public Education Trust, Premera (select groups), Aetna (select groups), ODS/MODA (select groups), CIGNA (select groups), Meritain (select groups), and others HAVE provided coverage. Not all employers who provide insurance include obesity as a covered diagnosis. Insurance quotes are not a guarantee of coverage.

Coded receipts are provided for insurance reimbursement if you wish to bill your insurance yourself. Download our helpful guide to determining your insurance coverage.

Required Tests

To get started, we require a panel of diagnostic tests to ensure you are healthy enough for our programs. We will accept any of these tests done by outside providers as long as the results are from within 90 days of your initial appointment:

  • CBC (Complete Blood Chemistry)
  • CMP (Comprehensive Metabolic Panel)
  • Lipids
  • HgA1c (Hemoglobin A1c)
  • TSH (Thyroid Stimulating Hormone)
  • Uric Acid
  • Urinalysis (Screening for glucose and protein)
  • EKG