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Express Path to Surgery
            
            

Have you been approved at another facility?
Have you met your diet requirements as indicated by your insurance company?

If you answered "yes" to either of these questions but have not scheduled your surgery yet, please fill out
the form below and we will contact you within 48 hours to help you get started on our Express
Pathway to Surgery!

Our goal is to provide you with an environment to educate and support you in preparation for weight loss and weight loss surgery.
Whenever possible, we encourage family involvement throughout the process.

By Phone
To get started in the weight loss surgery process at our Cleveland location, please call: 1-800-339-9829.

Via Email 

First Name*  
Last Name*  
Last 4 digits of SSN*  
Phone Number*       Eg:[555-555-5555]
Email Address*  
Zip code*  
Gender*   
How did you hear about us?*
Please give us a short description of where you are in the process:  
   

            
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