Provider Referral Form

At True You Weight Loss, we specialize in non-surgical, endoscopic weight loss procedures for patients who want to improve their health (cardiology or primary care referrals) or qualify for treatments and improve their outcomes like with fertility services or orthopedic surgery.

We understand the clinical and emotional complexity of managing obesity. That’s why we’re here—to support your patients with a science-backed, physician-led approach that prioritizes safety, dignity, and meaningful results. Our most popular procedure, the ESG-MAX™, helps patients lose 15% of their body weight within 3–4 months—and an average of 25% by 12 months—all without surgery or ongoing injections.

By referring a patient, you can trust that we’ll take the lead on education, counseling, procedure guidance, and care coordination. We explain their options, set realistic expectations, and support them every step of the way.

Please note: Our procedures are not covered by insurance, but we offer competitive financing options and flexible payment plans to make care accessible.

You’ll receive a confirmation once your referral is received, and we’ll reach out to your patient within 48 hours.

Thank you for partnering with us to support better outcomes—together.