Weight Loss Institute of Arizona kindly
requests all patients download, print, and fill out all patient documents
prior to your first office visit.Thanks!
Request for Insurance Verification
This form allows our Insurance Specialist Ronda to contact your insurance company and employer on your behalf to determine your benefits and coverage. This form is required to make a first appointment even if you do not have insurance. When you come to your first appointment we will go over a detailed invoice based on your insurance. This is a free service.