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Complete these steps after review the online seminar: STEP 1- CALL YOUR INSURANCE COMPANY! Before you begin filling out the paper work, be sure to call your insurance company to ensure you are eligible. This step MUST BE DONE before a consultation is scheduled! Also, there is a non-refundable program fee of $200. Please read below for more information regarding the program fee. Program Fee - We at the Midwest Institute of Advanced Laparoscopic Surgery™ are dedicated to your success. Education is a vital component in reaching your goals. The education process begins with the information seminar, in person or on-line, and is continued through the evaluation, pre-operative work-up, hospitalization and during your lifetime follow-up. The non-refundable program fee of $200 can be paid with cash, cashier's check or credit card. The first half of the payment is due at the time of your consultation appointment and the remaining $100 is due at your final pre-operative appointment. This fee is not covered by insurance and is non-refundable. Your seminar attendance or completed quiz is valid for one year. For example, if you make a decision to move forward 13 months after you attend a live seminar or watch the online seminar and submit the quiz, you would have to attend/view the seminar again. The same scenario applies to your program fee. Once paid, if you drop out of the process and come back 13 months later and decide to move forward, you would need to pay the program fee again. We keep the completed patient forms for six months. So if you complete the forms and attend a consultation, but decide later (i.e. - in the 8th month), you would need to complete all new forms so we have the most current information. If you do not fully understand these guidelines, don't hesitate to ask any of our representatives via phone and/or at your consultation! STEP 2 - CLICK ON THE LINK BELOW TO PRINT AND COMPLETE THE QUIZ Quiz for the Online Seminar - After viewing the online seminar, print and complete the quiz and take it to your first consultation. Please know you are welcome to attend any of the live seminars even if you've watched the online seminar. But this quiz must be printed, completed and taken to your first consultation if you plan to only view the online seminar. This is a requirement. STEP 3 - CLICK ON THE LINK TO INSURANCE INFORMATION HANDBOOK AND PRINT, COMPLETE AND MAIL/OR TAKE TO YOUR FIRST CONSULTATION Insurance Information Handbook - You will need to read this information thoroughly, and print and complete the pages specified. Some pages will be marked Print, complete and mail or Print, complete and return at your consultation. Use pages 3 and 4 as your surgery process checklist. On each form, complete as much information as possible and we will review when we meet to ensure it is complete. STEP 4 - CLICK ON THE LINK TO THE PATIENT INFORMATION PACKET Patient Information Packet - All the forms in this packet need to be completed. You can email us at info.wheatoniowa@wfhc.org and we will mail you the packet, or you can print and complete from your computer. Once you have completed all the information you can mail to our office or bring along to your consultation. We will review these forms as well to ensure they include all the necessary information we need. If you have any questions or concerns during this process do not hesitate to call us at 800-351-6839.
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