• Medical Weight Loss Information Session Registration Form

    Please complete the form, below, to sign up for one of Lahey's upcoming Medical Weight Loss Information Sessions.  Information sessions are held on Tuesdays and Thursdays at Lahey Clinic Medical Center in Burlington, and on Mondays and Wednesdays at Lahey Clinic Medical Center, North Shore, in Peabody. Various session times are available. Once you indicate your location preference, below, one of our program specialists can contact you personally to schedule the date and time most convenient for you.

    Please note: These information sessions are not free, but, rather, are billed as a consultation through your health insurer.

     * Preferred Info Session Location:   
     * First Name:   
     * Last Name:   
     * Address:   
     * City:   
     * State:   
     * Zip Code:   
     * Preferred Call-Back Number:   
     * E-mail Address:               
    * Date of Birth (MM/DD/YYYY):   
    Height (optional):  
    Weight (optional):