[one_half last=”no” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” class=”” id=””][fusion_text]

    Your First Name (required)

    Your Last Name (required)

    Your Phone Number (required)

    Your Email (required)

    Subject

    Your Message

    [/fusion_text][separator style_type=”none” top_margin=”0px” bottom_margin=”5px” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”100%” alignment=”left” class=”” id=””][/one_half][one_half last=”yes” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” class=”” id=””][fusion_text]

      I'm interested in the following Seminar Date (required)

      Your Personal Information (required)

      Your Last Name (required)

      Your First Name (required)

      Your Date of Birth (required)

      Your Phone Number (required)

      Your Email (required)

      Your Primary Insurance Information

      Insurance Company

      Insurance Company Phone

      Policy Holder Name

      Policy Holder Date of Birth

      Member Identification Number

      Member Group Number

      Your Secondary Insurance Information

      Secondary Insurance Company

      Secondary Insurance Company Phone

      Secondary Policy Holder Name

      Secondary Policy Holder Date of Birth

      Secondary Member Identification Number

      Secondary Member Group Number

      [/fusion_text][separator style_type=”none” top_margin=”0px” bottom_margin=”5px” sep_color=”” border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”100%” alignment=”left” class=”” id=””][/one_half][one_half last=”yes” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” class=”” id=””][map address=”2355 Dougherty Ferry Rd #430, St. Louis, MO 63122″ type=”roadmap” map_style=”default” overlay_color=”” infobox=”default” infobox_background_color=”” infobox_text_color=”” infobox_content=”” icon=”” width=”100%” height=”300px” zoom=”12″ scrollwheel=”yes” scale=”yes” zoom_pancontrol=”yes” animation=”yes” popup=”yes” class=”” id=””][/map][/one_half]

      If Your BMI is between 35 – 39.99 your LEVEL OF HEALTH RISK is at VERY HIGH/SEVERE for chronic health conditions and you are a medical candidate for gastric banding procedure. At an average rate of one-half to two pounds per week, the resulting gradual weight loss will reduce your risk of serious health conditions, including high blood pressure, osteoarthritis, hypertension, high cholesterol, sleep apnea and diabetes. You will also be able to increase your energy, improve your self-esteem and have a better quality of life. You are a medical candidate for the Lap-Band System and taking measures now may prevent you health from getting worse. Insurance may cover your procedure since you meet the minimum BMI of 35 and may have health conditions associated with being Morbidly Obese.

      BMIWaist less than or equal to
      40 in. (men) or
      35 in. (women)      		Waist greater than
      40 in. (men) or
      35 in. (women)
      18.5 or less<Underweight—N/A
      18.5 – 24.9Normal—N/A
      25.0 – 29.9OverweightIncreasedHigh
      30.0 – 34.9ObeseHighVery High
      35.0 – 39.9Morbidly ObeseVery HighVery High
      35.0 – 39.9Extremely ObeseExtremely HighExtremely High