How can we help?
Regardless of your financial situation, we offer quality care, convenience, and affordability for our bariatric patients.
Submit your information, and we will get back to you shortly with next steps.
Great! Let's get you scheduled for an appointment.
What is your preferred payment option?
Self-Pay
For patients without insurance, we offer a personal cash investment option. We understand the challenges of funding your weight loss procedure. That’s why we offer a competitive, all-inclusive price and the most comprehensive care available! Submit your information on the next couple screens and we will be in touch shortly.
Financing
Worried about non-coverage or cannot afford the full price cash investment? Don’t stress! Our contract financing programs are available for out-of-pocket bariatric expenses not covered by insurance. Submit your information on the next couple screens and we will be in touch shortly to walk you through how to apply for financing.
Insurance
Great! Our team of experts will find out if your insurance provider covers Weight Loss Surgery. Submit your information on the next few screens, and we will be in touch shortly with your results and next steps.
Medicare
Medicare coverage for bariatric surgery varies from person to person. However, bariatric surgery is often deemed medically necessary because many conditions stem from morbid obesity. Submit your information on the next couple screens, and we will be in touch shortly to dicuss next steps.
Are you interested in Surgical or Non-Surgical Options?
Height & Weight
DOB (Date of Birth)
Contact Information
Your Employer
Insurance Information
Insurance Card Photo (Front)
Insurance Card Photo (Back)
Please Provide a Photo ID
Last 4 digits of your Social Security Number
Do you have Secondary Insurance?
Secondary Insurance Info
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