Get Why Weight Why Weight - Methodist Hospital

Completing the Why Weight Why Weight form online helps you understand your weight loss options and verify insurance coverage. This guide provides step-by-step instructions to assist you in accurately filling out the form, ensuring a smooth process.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing program.
2. Provide your personal details in the appropriate fields. Enter your last name, first name, middle initial, and birth date.
3. Fill in your complete address, including city, state, and zip code, along with your social security number.
4. Indicate your gender by selecting either 'Male' or 'Female' and provide your home and alternate telephone numbers.
5. List any health problems you may have by checking the applicable boxes, such as diabetes or high blood pressure.
6. Designate an emergency contact person by providing their name, phone number, and relationship to you.
7. Record your height, weight, and body mass index (BMI) in the specified fields.
8. Fill in the physician's name (Edward Pina, M.D.) and check the surgery option if applicable (LAP-BAND®).
9. For insurance information, specify your relationship to the insured, provide the insurance company name and address, and fill in the policyholder's details, including their social security number and date of birth.
10. Complete the fields for group number and ID number. Mention the employer's name and the insurance company's telephone number.
11. Review all entered information for accuracy. Once confirmed, save changes, and prepare the document for submission.
12. Finally, print, download, or share the completed form according to the submission instructions provided.

Complete your Why Weight Why Weight - Methodist Hospital form online today to begin your weight loss journey.