This program will be open to anyone over the age of 16 who is interested in losing weight.
The program will not only provide participants with a dietary plan for weight loss but will also provide tools for effective psychological behavior modification.
Requirements
Before the participant can enter the weight loss program, medical clearance needs to be obtained either from the participant’s own Primary Care Physician (PCP) or the program's PCP. The "Weight Loss Medical Evaluation and Clearance" form must be completed by the participant’s own PCP and reviewed by the program's PCP before the participant can schedule the initial appointment with the psychologist and dietitian.
If Cleveland Clinic in Florida accepts participant’s insurance, the program's PCP's visit for clearance can be billed through the insurance.
Length of Program
The program will run for 9 weeks. The appointment will be done one-on-one on Wednesday with the dietitian (60 minutes) and the psychologist (75 minutes). These will be scheduled back-to-back.
Appointments 2 through 9 will be in a group setting and will meet on Monday for 60 minutes with the nutritionist and for 60 minutes with the psychologist. These group appointments will also be back-to-back. Participants will register at desk 23/24 to get weighed in by the dietitian. The groups will be held in a David Jagelman Center conference room.
Cost of Program
The fee will be $590 for all 9 weeks of both services payable at the first visit. This program will not be covered by insurance.
For additional information, please call:
Gina Sweat MS, RD, LD/N
954.659.5874
Weight Loss / Smoking Cessation Medical Evaluation and Clearance
Must be completed within 90 days of enrollment by PCP________________
Clinical & Lab evaluation:
Height, in ______________ Date:
Weight, lb _____________ Date:
BMI, kg/m2: >25 _______ >30 ________ > 40 _________ Date:
Blood Pressure, mmHg _____________ Date:
Fasting Blood Glucose _____________ Date:
TC, mg/dl ______________ Date:
LDL, mg/dl _____________ Date:
HDL, mg/dl ____________ Date:
Triglycerides ___________ Date:
TSH _________________ Date:
EKG (within 6 months): ___________ Date:
Stress test, if indicated, for cardiovascular assessment/disorder or exercise tolerance __________ Date:
Medical clearance (within 30 days) _________________ Date:
Able to devote 15-30 mins of exercise/day x 6 months Yes _________ No _________
Date:
Medically stable to proceed with weight loss / smoking cessation program as planned YES _____ NO _____
Please provide copies of all testing done as per requirements one week prior to enrollment consult.
Referring MD Signature _____________________ Phone# ________________
Medical License # _______________
