• Before your first visit, please complete the New Patient forms and if possible one week in advance so that we review your information and learn more about you prior to your visit.

• Please logon 15 minutes before your scheduled appointment.

• Please obtain your height, weight, blood pressure, and pulse before the visit.

• Your initial consultation will last approximately 1 hour. During this time, you will receive a complete evaluation and a teaching session. Together, we will create an individualized weight loss plan..

• If indicated labs and an EKG will be ordered for further evaluation.

We understand that you have busy schedules and we respect your time. Normally, we schedule follow-up visits once a month during the active weight loss period. However, we can adjust the frequency of follow-up visits to be more or less often based on your needs. During these visits, we will track your progress, address any challenges you may have faced during the month, and continue to fine-tune your overall health plan. Once you reach your goal weight, we will shift the focus to weight maintenance and space out your follow-up visits further apart.

Please note that most  insurance plans do not cover medical weight loss services. Consequently, we do not accept insurance or submit bills to your insurance company. The cost for a new patient consultation and follow-up visits are listed below. We also have a registered dietitian who can work with you individually.

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• New Patient Visits are  $180

• Follow up Visits are  $125 

• Re-establish Visits are $180 (more than one year since the last visit))

• Any visit of more than three years  is considered a new patient appointment

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If you've had labs in the last year or an EKG over the previous 90 days, please bring a copy to your first visit or arrange to fax it to our office at (804) 451-4586.

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If we ask you to have labs done, we'll give you an order to go to any LabCorp of your choice. The labs will be billed directly by the lab to your insurance company outside of your clinic visit.

For patients who want to use appetite suppressants, you'll need an EKG within the last 90 days. If you need one, please make an appointment with your PCP and we can also provide a referral.

Thyroid tests and blood work are required before prescribing any weight loss medications and can be ordered at your initial visit.

If you need more intensive heart studies, like a stress test or heart evaluation, we'll give you an order to schedule this with a cardiologist's office, and it will be billed through your insurance by the cardiologist's office.