Welcome!

(Download or print) Medical Weight Loss: Post-Video Quiz

• Fax your completed quiz to 703-391-4217
• Email your completed quiz to MWLFairOaks@inova.org

History Enrollment Form

Patient Record of Disclosure Form

Patient Waiver Form

Schedule a physical with your Primary Care Physician (PCP) to complete the necessary lab work, EKG, and program clearance. Your doctor will need to fax a copy of the lab results, EKG, History and Physical documentation, and signed clearance to our office at 703-391-4217.

Patient Contraindications List

Physician Clearance Packet

Once we have received all the required documents, our team will review your chart and the scheduler will call you to discuss the next steps.

If you need any additional information, please call our office at 703-997-7639.