We try to make the transition of making lifestyle changes easier.  One way to do this is to see if you have insurance coverage for weight loss surgery.  This should also let us see what are the requirements for approval for weight loss surgery.  Please click on the pictures below to start your journey to healthier living.  When you finish these forms please send them to the numbers listed and let us know that you have done this through our insurance specialist by calling us at 1-866-922-4592 or email us at Insurancespecialist@lifeweigh.com. 

When completed send the form to the Fax below or call the number listed.

1-800-LAP-BAND (527-2263), Option 3 (phone) • 1-800-711-0810 (Fax)

Insurance Verification Forms:

Click on this document for a WORD form:


Click on this document for an ADOBE form: