STRIVE Motivational Series I Outline

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STRIVE MD Motivational Series – Information & Outline Successful

Tools for

Realistic,

Introspective and

Valuable long-term

Effective weight-loss.

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This material is confidential and contains proprietary information and intellectual property of Nancy Lum & Dawn O’Meally. Neither these materials nor any of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission. STRIVE – handout for patients 10-15-2012 HN+NL


STRIVE MD is a series of group therapy meetings being held by both Dietitian Nancy Lum and Therapist Dawn O’Meally. So participants will have access to both nutrition counseling and psychotherapy at the same time, at each meeting.

What is discussed & When are the meetings? All meetings located at: 700 Geipe Rd., Ste. 203, Catonsville, MD 21228 1. Making Preparations Getting Ready for Your Change Journey Part 1

2. The Progression, Acceptance, & Ownership Process Part 2

3. PART I Losing Weight Is a Mind Game; Change Your Mind Change Your Body Part 3

4. Understanding The “ANTS” & Their Sabotaging Effect On Your Life Part 4

5. Those Sabotaging “ANTS” Learn The Prescription to Kill Them Part 5

6. Time for a Paradigm Shift to Remove The Excuses Part 6

7. Creating Your Vision boards and Graduation. Part 7

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This material is confidential and contains proprietary information and intellectual property of Nancy Lum & Dawn O’Meally. Neither these materials nor any of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission. STRIVE – handout for patients 10-15-2012 HN+NL


The fee for all 7 sessions, 10.5 hours of group therapy and access to TWO clinical specialists at each session, is only $350.00. That breaks down to under $35 an hour!

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If you pay in FULL at the first session the total due is only $300. If paying $50 at each session, payment will be due at the beginning of each session.

Accepted methods of payment: Cash, check, money order, VISA, MasterCard or American Express. We do accept FSA, HSA cards with VISA logo for payment. Please see Financial Policy and Patient Agreement for details. Nancy Lum does not participate with insurance companies. You will be provided with a nutrition medically coded receipt for weight loss upon completion of the series or once you have paid in full, whichever comes first. This nutrition coded receipt can be submitted to your insurer to seek reimbursement; we cannot guarantee you will be reimbursed. We do not accept Medicare Assignment. If you are unable to be reimbursed for our services please save the receipt for your tax and/or flex spending purposes. You may be eligible for reimbursement from your insurance company if you see therapist Dawn O’Meally for an individual assessment, no less than two weeks prior to the first class. See below for instructions on how to utilize your mental health benefits from your insurance company. INSURANCE: If you have insurance coverage and plan to use your mental health benefits, for the costs of group therapy, you will need to be individually assessed by Dawn O'Meally LCSW-C, P.A. Insurance companies will not offer reimbursement without a proper diagnostic code(s). In order for Dawn O’Meally to bill your insurance, you must be individually assessed to obtain a diagnosis code for her to bill under. It is your responsibility to find out what coverage, you have for group therapy. Please visit Dawn's website www.bariatricpsychservices.com to see a list of insurance companies she participates in. Call 443-590-0030 to schedule your individual assessment appointment and for more information regarding possible insurance reimbursement. You will be told what your co-payment, per class session, will be based on your insurance coverage by Dawn’s office. If you choose to utilize your insurance coverage through Dawn the co-payment for Nancy Lum will be $25.00 per 90-minute session. Nancy’s co-payment is to be paid at the beginning of each class, or can be paid in full for all sessions at the beginning of the first session. A nutrition receipt, coded for weight-loss, will be provided to you at the end of the series for the total cost incurred. You may then attempt to submit to insurance for reimbursement of her services; we cannot guarantee reimbursement. We do not accept Medicare Assignment.

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This material is confidential and contains proprietary information and intellectual property of Nancy Lum & Dawn O’Meally. Neither these materials nor any of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission. STRIVE – handout for patients 10-15-2012 HN+NL


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