    <div class="wpb-content-wrapper">
        <div id="wlc-getting-started-provider-group" class="vc_row wpb_row vc_row-fluid">
            <div class="wpb_column vc_column_container vc_col-sm-12">
                <div class="vc_column-inner">
                    <h2>Request an appointment and discover your options.</h2>
                    <p>Complete the form below by entering your current height and weight to determine your body mass index (BMI). This information will help our exper t care providers figure out the best way to get you started.</p>
                    <p>You can also call <a href="tel:15139392263">(513) 939-2263</a> to request an appointment with our weight management experts.</p>
                    <h2>Free seminars about our expert weight loss care</h2>
                    <p>We offer free informational seminars so you can find out more about our comprehensive weight management and obesity care. Hear directly from our team of bariatric and weight loss experts so you decide the best option for you.</p>
                </div>
            </div>
        </div>
        <div id="wlc-getting-started" class="wlc-getting-started-wrapper" data-step="wlcStep1">

    	<div class="alert alert-success videoalert" style="display:none; padding:20px 30px;">
        	<strong>Thank you for registering to view the UC Health Weight Loss Center's Surgical Weight Loss Video. </strong><br /><br />

            <p>Please click the link below to access your unique link to view our FREE 60 minute informational seminar video. For best viewing we recommend using Google Chrome.</p><p>After you have reviewed the seminar in its entirety there will be a short quiz at the end. </p>

			<p><a class="btn btn-uchwhite videolink" href="#" target="_blank" >View Surgical Weight Loss Video</a></p>
			<p><em>We have also emailed you a confirmation message that includes your personal video link.</em></p>
            <p><em>Please check your spam folder if you don’t receive a confirmation message in the next few minutes.</em></p>
		</div>

        <div class="well well-lg" id="wlcStep1">
        	<h2>Step 1: Determine Your BMI</h2>
            <div class="row">
            	<div class="col-md-6"><p>Body mass index (BMI) is a number calculated from your age, weight and height that helps healthcare providers diagnose obesity.  Your BMI will help determine which weight loss program is right for you. Enter your information in the calculator to find your BMI.</p>
<br>
					<ul>
    					<li>Above Normal BMI (27+): You may qualify for medical weight management.</li>
	    				<li>High BMI (30+): You may qualify for bariatric surgery and medical weight management.</li>
                    </ul>
				</div>
                <div class="col-md-6"><div class="bmicalc">
				<h3>BMI Calculator</h3>
				<div id="imperial">
					<form class="form-horizontal" role="form">
						<div class="form-group">
							<label for="age" class="col-sm-2">Age</label>
							<div class="col-sm-10">
								<input type="number" class="form-control" id="age">
							</div>
						</div>
						<div class="form-group">
							<label for="weight" class="col-sm-2">Weight:</label>
							<div class="col-sm-10">
								<div class="input-group">
									<input type="number" class="form-control" id="weight">
									<div class="input-group-addon">lbs.</div>
								</div>
							</div>
						</div>
						<div class="form-group">
							<label for="ft" class="col-sm-2">Height:</label>
							<div class="col-sm-10">
								<div class="input-group">
									<input type="number" class="form-control" id="ft">
									<div class="input-group-addon">ft.</div>
								</div>
							</div>
						</div>
						<div class="form-group">
							<div class="col-sm-10 col-sm-offset-2">
								<div class="input-group">
									<input type="number" class="form-control" id="in">
									<div class="input-group-addon">in.</div>
								</div>
							</div>
						</div>
					</form>
				</div>

				<div id="first" class="alert alert-warning">
					<h4><strong>Your BMI: <span id="first1"></strong></h4>

					<div class="bmiresults results_normal">
						<p>Your BMI is within what is considered a normal range. To help keep your weight in this range, get plenty of exercise, eat a nutritious diet, and get adequate sleep to maintain your health.</p>
					</div>

					<div class="bmiresults results_over">
						<p>Your BMI qualifies you for medical weight management. To learn more about our non-surgical weight loss programs click continue below to complete enrollment.</p>
                        <p>If the program is covered by insurance, a member of our team will check your benefits.</p>
                        <p>You must be at least 18 years old to participate in any UC Health Weight Loss Center obesity management program.</p>
					</div>

					<div class="bmiresults results_extreme_over">
						<p>Your BMI qualifies you for medical weight management. You may also qualify for metabolic and bariatric surgery if you have type 2 diabetes (T2D) or other obesity related health condition. Most insurance policies, do not cover bariatric surgery if BMI is less than 35 but we offer self-pay bundle pricing at West Chester Hospital.</p>
                        <p>To learn more click continue below to complete enrollment and request insurance benefit check.</p>
                        <p>You must be at least 18 years old to participate in any UC Health Weight Loss Center obesity management program.</p>
					</div>

					<div class="bmiresults results_obese">
						<p>Your BMI qualifies you for medical weight management and bariatric surgery. Insurance coverage may require one or two obesity related conditions.</p>
                        <p>Your individual insurance policy may require one to two obesity related conditions such as sleep apnea, hypertension, or diabetes.</p>
                        <p>To learn more click continue below to complete enrollment and request insurance benefit check.</p>
                        <p>You must be at least 18 years old to participate in any UC Health Weight Loss Center obesity management program.</p>
					</div>

					<div class="bmiresults results_extreme_obese">
						<p>Your BMI qualifies you for medical weight management and bariatric surgery.</p>
                        <p>Your individual insurance policy may require one to two obesity related conditions such as sleepapnea, hypertension, or diabetes.</p>
                        <p>To learn more click continue below to complete enrollment and request insurance benefit check.</p>
                        <p>You must be at least 18 years old to participate in any UC Health Weight Loss Center obesity management program.</p>
					</div>

					<div id="resetImperial">
						<a onclick="bmi_reset();" href="javascript:">Reset</a>
					</div>

				</div>

				<div id="bmisubmit" class="col-sm-10 col-sm-offset-2">
					<button type="button" onclick="bmi_calculate();" class="btn btn-uchred button">Calculate BMI</button>
				</div>


			</div> <a href="javascript:" class="btn btn-uchred btn-continue" data-parent="wlcStep1" data-next="wlcStep2">Continue</a> </div>
            </div>
        </div>

        <div class="well well-lg" id="wlcStep2">
        	<h2>Step 2: Registration/Insurance Benefit Check</h2>
                        <div class="row">
            	<div class="col-md-10 col-md-offset-1">
	            <form id="bariatric_register_form" action="#" enctype="multipart/form-data" class="form-horizontal" method="post">

                    <div class="form-group">
                            <label class="col-sm-2 control-label">Name: <span class="required">*</span></label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbName" id="tbName" maxlength="250" value="" size="30" class="form-control required" required="required" placeholder="Name" /></div>
                    </div>

                        <div class="form-group">
                            <label class="col-sm-2 control-label">Phone Number: <span class="required">*</span></label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbPhone" id="tbPhone" maxlength="250" value="" size="30" class="required form-control" required="required" placeholder="Phone Number" /></div>
                        </div>

						<div class="form-group">
                            <label class="col-sm-2 control-label">Address: <span class="required">*</span></label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbStreet" id="tbStreet" maxlength="250" value="" size="30" required="required" /></div>
						</div>

						<div class="form-group">
                            <label class="col-sm-2 control-label">City: <span class="required">*</span></label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbCity" id="tbCity"  maxlength="30" value="" size="15" required="required" /></div>
						</div>

						<div class="form-group">
							<label class="col-sm-2 control-label">State:<span class="required">*</span></label>
							<div class="col-sm-10"><select name="tbState" id="tbState" required="required" class="form-control">
								<option value="AL">Alabama</option>
								<option value="AK">Alaska</option>
								<option value="AZ">Arizona</option>
								<option value="AR">Arkansas</option>
								<option value="CA">California</option>
								<option value="CO">Colorado</option>
								<option value="CT">Connecticut</option>
								<option value="DE">Delaware</option>
								<option value="DC">District of Columbia</option>
								<option value="FL">Florida</option>
								<option value="GA">Georgia</option>
								<option value="HI">Hawaii</option>
								<option value="ID">Idaho</option>
								<option value="IL">Illinois</option>
								<option value="IN">Indiana</option>
								<option value="IA">Iowa</option>
								<option value="KS">Kansas</option>
								<option value="KY">Kentucky</option>
								<option value="LA">Louisiana</option>
								<option value="ME">Maine</option>
								<option value="MD">Maryland</option>
								<option value="MA">Massachusetts</option>
								<option value="MI">Michigan</option>
								<option value="MN">Minnesota</option>
								<option value="MS">Mississippi</option>
								<option value="MO">Missouri</option>
								<option value="MT">Montana</option>
								<option value="NE">Nebraska</option>
								<option value="NV">Nevada</option>
								<option value="NH">New Hampshire</option>
								<option value="NJ">New Jersey</option>
								<option value="NM">New Mexico</option>
								<option value="NY">New York</option>
								<option value="NC">North Carolina</option>
								<option value="ND">North Dakota</option>
								<option selected value="OH">Ohio</option>
								<option value="OK">Oklahoma</option>
								<option value="OR">Oregon</option>
								<option value="PA">Pennsylvania</option>
								<option value="RI">Rhode Island</option>
								<option value="SC">South Carolina</option>
								<option value="SD">South Dakota</option>
								<option value="TN">Tennessee</option>
								<option value="TX">Texas</option>
								<option value="UT">Utah</option>
								<option value="VT">Vermont</option>
								<option value="VA">Virginia</option>
								<option value="WA">Washington</option>
								<option value="WV">West Virginia</option>
								<option value="WI">Wisconsin</option>
								<option value="WY">Wyoming</option>
							</select></div>
						</div>

						<div class="form-group">
							<label class="col-sm-2 control-label">Zip: <span class="required">*</span></label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbZip" id="tbZip" maxlength="100" value="" size="15"  class="required" required="required" /></div>
                        </div>

						<div class="form-group">
                            <label class="col-sm-2 control-label">Email Address: <span class="required">*</span></label>
							<div class="col-sm-10"><input class="text form-control" type="email" name="tbEmail" id="tbEmail" maxlength="250" value="" size="30" class="required" required="required" /></div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-2 control-label">Date of Birth:</label>
							<div class="col-sm-10"><input class="text form-control" type="text" name="tbDOB" id="tbDOB" maxlength="250" value="" size="30" class="text" placeholder="MM/DD/YYYY"/></div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-2 control-label">Do you require a language interpreter?</label>
                            <div class="col-sm-10">
                                <input class="radio" type="radio" name="tbLangInter" id="tbLangInterYes"  value="Yes">Yes</input><input class="radio" type="radio" name="tbLangInter" id="tbLangInterNo"  value="No">No</input>
                            </div>
                        </div><div id="yesLanguage"  style="display: none;" class="form-group" ><label class="col-sm-2 control-label">Language</label>
                            <div class="col-sm-10">
                                <input type="text" class="text form-control" name="tbYesLanguage" id="tbYesLanguage" maxlength="250" value="" size="30" class="form-control" placeholder="Language" />
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-2 control-label">How did you hear about us?<span class="required">*</span></label>
                            <div class="col-sm-10"><select name="tbHowHear" id="tbHowHear" required="required" class="form-control">
                                <option value="">- select below - </option>
								<option value="Billboard">Billboard</option>
								<option value="Flyer Brochure">Flyer/Brochure</option>
                                <option value="Friend Family">Friend/Family (enter name below)</option>
								<option value="Insurance Provider">Insurance Provider</option>
                                <option value="Internet">Internet</option>
								<option value="Newspaper Magazine">Newspaper/Magazine</option>
								<option value="ObesityHelp.com">ObesityHelp.com</option>
                                <option value="Other">Other (enter below)</option>
                                <option value="Physician Referral">Physician Referral(enter name below)</option>
								<option value="Postcard">Postcard</option>
								<option value="Social Media">Social Media</option>
                                <option value="TV">TV</option>
                            </select></div>
                        </div>  <div id="physicianAndOthers"   style="display: none;"  class="form-group"  >
                            <label class="col-sm-2 control-label">Physician Name or Other:</label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbPhysician" id="tbPhysician" maxlength="250" value="" /></div>
                        </div> <div id="typeOfObesityCare"  style="display: none;"  class="form-group" >
                                <label class="col-sm-2 control-label">What type of obesity care are you interested in?<span class="required">*</span></label>
                                <div class="col-sm-10"><select name="tbTypeOfObesityCare" id="tbTypeOfObesityCare" class="form-control">
                                    <option value="">- select below - </option>
                                    <option value="Non surgical weight management">Non surgical weight management</option>
                                    <option value="Weight Loss Surgery">Weight Loss Surgery</option>
                                    <option value="Unsure">Unsure</option>
                                </select></div>
                            </div><div class="form-group">
                            <label class="col-sm-2 control-label">Insurance:</label>
                            <div class="col-sm-10">
                                <select name="tbInsurance" id="tbInsurance" class="form-control">
                                    <option value="">- select below - </option>
                                    <option value="Aetna">Aetna</option>
                                    <option value="CareSource">CareSource</option>
                                    <option value="Cigna">Cigna</option>
                                    <option value="Elevance Health/Anthem">Elevance Health/Anthem</option>
                                    <option value="Kaiser Permanente">Kaiser Permanente</option>
                                    <option value="United Health">United Health</option>
                                    <option value="UMR">UMR</option>
                                    <option value="Other">Other</option>
                                </select>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-2 control-label">Health Plan Types:</label>
                            <div class="col-sm-10">
                                <select name="tbHealthPlanTypes" id="tbHealthPlanTypes" class="form-control">
                                    <option value="">- select below - </option>
                                    <option value="EPO">EPO</option>
                                    <option value="High-Deductible Plan">High-Deductible Plan</option>
                                    <option value="HMO">HMO</option>
                                    <option value="Medicaid">Medicaid</option>
                                    <option value="Medicare">Medicare</option>
                                    <option value="PoS">PoS</option>
                                    <option value="PPO">PPO</option>
                                    <option value="Other">Other</option>
                                </select>
                            </div>
                        </div>
						<div class="form-group">
                            <label class="col-sm-2 control-label">Employer:</label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbEmployer" id="tbEmployer" maxlength="250" value="" /></div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-2 control-label">Comments:</label>
							<div class="col-sm-10"><textarea class="text form-control" name="tbComments" id="tbComments" cols="45" rows="8"></textarea></div>
                        </div> <div id="bariatricSurgery"  style="display: none;" class="form-group" > <label class="col-sm-2 control-label">Have you had previous bariatric surgery?</label>
                            <div class="col-sm-10">
                                <input class="radio" type="radio" name="tbBariatricSurgery" id="tbBariatricSurgeryYes"  value="Yes">Yes</input><input class="radio" type="radio" name="tbBariatricSurgery" id="tbBariatricSurgeryNo"  value="No">No</input>
                            </div>
                        </div><div id="yesBariatricSurgery"  style="display: none;"  class="form-group" >
                            <label class="col-sm-2 control-label">If yes - what procedure?</label>
                            <div class="col-sm-10">
                                <select name="tbBariatricSurgeryYes" id="bariatricSurgeryYes"  class="form-control">
                                    <option value="">- select below - </option>
								    <option value="BPD/DS" >BPD/DS</option>
					                <option value="Gastric band/Lapband/Magazine">Gastric band/Lapband/Magazine</option>
								    <option value="Gastric Bypass">Gastric Bypass</option>
								    <option value="Sleeve Gastrectomy">Sleeve Gastrectomy</option>
                                    <option value="SADI-S/Loop DS">SADI-S/Loop DS</option>
                                    <option value="Other">Other</option>
                                </select>
                            </div>
                        </div> <div id="bariatricSurgeryYesOthers"   style="display: none;"  class="form-group"  >
                                <label class="col-sm-2 control-label">Other:</label>
                                <div class="col-sm-10"><input type="text" class="text form-control" name="tbBariatricSurgeryYesOthers" id="tbBariatricSurgeryYesOthers" maxlength="250" value="" /></div>
                            </div> <div id="yesBariatricSurgeryTwo"  style="display: none;"  class="form-group" >
                            <label class="col-sm-2 control-label">If yes - Why are you interested in a surgical revision?</label>
                            <div class="col-sm-10">
                                <select name="tbBariatricSurgeryYesTwo" class="form-control">
                                    <option value="">- select below - </option>
                                    <option value="Complication such as GERD" >Complication such as GERD</option>
                                    <option value="Weight loss">Weight loss</option>
                                    <option value="Both">Both</option>
                                </select>
                            </div>
                        </div><div id="haveType2Diabetes"  style="display: none;"  class="form-group" >
                            <label class="col-sm-2 control-label">Do you have T2D or other obesity related health conditions?</label>
                            <div class="col-sm-10">
                                <select name="tbHaveType2Diabetes" id="tbHaveType2Diabetes" class="form-control">
                                    <option value="">- select below - </option>
								    <option value="Yes">Yes</option>
					                <option value="No">No</option>
								    <option value="Other">Other</option>
                                </select>
                            </div>
                        </div> <div id="haveType2DiabetesOthers"   style="display: none;"  class="form-group"  >
                                <label class="col-sm-2 control-label">Other:</label>
                                <div class="col-sm-10"><input type="text" class="text form-control" name="tbHaveType2DiabetesOthers" id="tbHaveType2DiabetesOthers" maxlength="250" value="" /></div>
                            </div> <div id="smokeNicotineProducts"  style="display: none;"  class="form-group" >
                            <label class="col-sm-2 control-label">Do you smoke or use other nicotine products?</label>
                            <div class="col-sm-10">
                                <input class="radio" type="radio" name="tbSmokeNicotineProducts" id="tbSmokeNicotineProductsYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbSmokeNicotineProducts" id="tbSmokeNicotineProductsNo" value="No" >No</input>
                            </div>
                        </div> <div id="organTransplantEvaluation"  style="display: none;"  class="form-group" >
                            <label class="col-sm-2 control-label">Have you had an organ transplant or waiting for evaluation?</label>
                            <div class="col-sm-10">
                                <input class="radio" type="radio" name="tbOrganTransplantEvaluation" id="tbOrganTransplantEvaluationYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbOrganTransplantEvaluation" id="tbOrganTransplantEvaluationNo" value="No" >No</input>
                            </div>
                        </div>  <div id="obesityRelatedConditions"  style="display: none;"  class="form-group">
                            <div class="col-sm-10">
                                <label class="control-label">Have you been diagnosed with any of the following obesity related conditions? </label>
                            </div>
                        </div><div id="type2Diabetes" class="form-group"  style="display: none;" >
                        <label class="col-sm-2 control-label">Type 2 Diabetes?</label>
                        <div class="col-sm-10">
                            <input class="radio" type="radio" name="tbType2Diabetes" id="tbType2DiabetesYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbType2Diabetes" id="tbType2DiabetesNo" value="No" >No</input>
                            </div>
                        </div><div id="hypertension"  style="display: none;"  class="form-group">
                        <label class="col-sm-2 control-label">Hypertension (high blood-pressure) requiring medication?</label>
                        <div class="col-sm-10">
                            <input class="radio" type="radio" name="tbHypertension" id="tbHypertensionYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbHypertension" id="tbHypertensionNo" value="No" >No</input>
                            </div>
                        </div><div id="sleepApnea"  style="display: none;"  class="form-group">
                        <label class="col-sm-2 control-label">Obstructive Sleep Apnea?</label>
                        <div class="col-sm-10">
                            <input class="radio" type="radio" name="tbSleepApnea" id="tbSleepApneaYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbSleepApnea" id="tbSleepApneaNo" value="No" >No</input>
                            </div>
                        </div><div id="needingSurgery"  style="display: none;"  class="form-group">
                        <label class="col-sm-2 control-label">Osteoarthritis in a weight bearing joint needing surgery</label>
                        <div class="col-sm-10">
                            <input class="radio" type="radio" name="tbNeedingSurgery" id="tbNeedingSurgeryYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbNeedingSurgery" id="tbNeedingSurgeryNo" value="No" >No</input>
                            </div>
                        </div><div class="form-group">
							<label class="col-sm-2 control-label"></label>
							<div class="col-sm-10"><div id="recaptcha-wrapper"><div class="g-recaptcha" data-sitekey="6Lc8Tw8TAAAAAN_CANd6HYghBEYjnonpkb9o72kS"></div></div></div>
						</div><div class="form-group">
							<div class="col-sm-10 col-sm-offset-2">
								<input type="submit" name="submit" value="Send Registration Information" class="btn btn-uchred" />
								<input type="hidden" name="ucpbariatricregister" id="ucpbariatricregister" value="true" />
                                <input type="hidden" name="status" id="status" value="" />
							</div>
						</div>

                    </fieldset>
                </form>                </div>
			</div>
        </div>

        <div class="well well-lg" id="wlcStep3">
        	<h2>Step 3: Final Steps to Begin Your Journey</h2>
            <p>After reviewing your registration information, a representative from the weight loss center will contact you about enrollment and next steps.</p>
<p>Thank you for your interest in the UC Health Weight Loss Center. We provide comprehensive obesity care to help our patients achieve their individual weight loss goals, improving overall health and quality of life.</p>
<p>We are excited to be on this journey with you and will help you at every step.<br />
If you have any questions, please call our team at 513-939-2263.</p>
            <!-- Hiding moving to Step4 as Step3 is the last step in the process -->
            <!--<div><a href="javascript:" class="btn btn-uchred btn-continue" data-next="" data-parent="wlcStep3">Continue</a></div>-->
        </div>

        <!-- Hiding Step4 as Step3 is the last step in the process -->
        <!--<div class="well well-lg" id="wlcStep4_nonsurgical">
        	<h2>Step 4: Thank you</h2>
			        </div>-->

        <!-- Hiding Step4 as Step3 is the last step in the process -->
        <!--<div class="well well-lg" id="wlcStep4_surgical">
        	<h2>Step 4: Final Steps to Begin Your Journey</h2>
			        </div>-->

        </div>
    </div>
        <div class="wpb-content-wrapper">
        <div id="wlc-getting-started-provider-group" class="vc_row wpb_row vc_row-fluid">
            <div class="wpb_column vc_column_container vc_col-sm-12">
                <div class="vc_column-inner">
                    <h2>Request an appointment and discover your options.</h2>
                    <p>Complete the form below by entering your current height and weight to determine your body mass index (BMI). This information will help our exper t care providers figure out the best way to get you started.</p>
                    <p>You can also call <a href="tel:15139392263">(513) 939-2263</a> to request an appointment with our weight management experts.</p>
                    <h2>Free seminars about our expert weight loss care</h2>
                    <p>We offer free informational seminars so you can find out more about our comprehensive weight management and obesity care. Hear directly from our team of bariatric and weight loss experts so you decide the best option for you.</p>
                </div>
            </div>
        </div>
        <div id="wlc-getting-started" class="wlc-getting-started-wrapper" data-step="wlcStep1">

    	<div class="alert alert-success videoalert" style="display:none; padding:20px 30px;">
        	<strong>Thank you for registering to view the UC Health Weight Loss Center's Surgical Weight Loss Video. </strong><br /><br />

            <p>Please click the link below to access your unique link to view our FREE 60 minute informational seminar video. For best viewing we recommend using Google Chrome.</p><p>After you have reviewed the seminar in its entirety there will be a short quiz at the end. </p>

			<p><a class="btn btn-uchwhite videolink" href="#" target="_blank" >View Surgical Weight Loss Video</a></p>
			<p><em>We have also emailed you a confirmation message that includes your personal video link.</em></p>
            <p><em>Please check your spam folder if you don’t receive a confirmation message in the next few minutes.</em></p>
		</div>

        <div class="well well-lg" id="wlcStep1">
        	<h2>Step 1: Determine Your BMI</h2>
            <div class="row">
            	<div class="col-md-6"><p>Body mass index (BMI) is a number calculated from your age, weight and height that helps healthcare providers diagnose obesity.  Your BMI will help determine which weight loss program is right for you. Enter your information in the calculator to find your BMI.</p>
<br>
					<ul>
    					<li>Above Normal BMI (27+): You may qualify for medical weight management.</li>
	    				<li>High BMI (30+): You may qualify for bariatric surgery and medical weight management.</li>
                    </ul>
				</div>
                <div class="col-md-6"><div class="bmicalc">
				<h3>BMI Calculator</h3>
				<div id="imperial">
					<form class="form-horizontal" role="form">
						<div class="form-group">
							<label for="age" class="col-sm-2">Age</label>
							<div class="col-sm-10">
								<input type="number" class="form-control" id="age">
							</div>
						</div>
						<div class="form-group">
							<label for="weight" class="col-sm-2">Weight:</label>
							<div class="col-sm-10">
								<div class="input-group">
									<input type="number" class="form-control" id="weight">
									<div class="input-group-addon">lbs.</div>
								</div>
							</div>
						</div>
						<div class="form-group">
							<label for="ft" class="col-sm-2">Height:</label>
							<div class="col-sm-10">
								<div class="input-group">
									<input type="number" class="form-control" id="ft">
									<div class="input-group-addon">ft.</div>
								</div>
							</div>
						</div>
						<div class="form-group">
							<div class="col-sm-10 col-sm-offset-2">
								<div class="input-group">
									<input type="number" class="form-control" id="in">
									<div class="input-group-addon">in.</div>
								</div>
							</div>
						</div>
					</form>
				</div>

				<div id="first" class="alert alert-warning">
					<h4><strong>Your BMI: <span id="first1"></strong></h4>

					<div class="bmiresults results_normal">
						<p>Your BMI is within what is considered a normal range. To help keep your weight in this range, get plenty of exercise, eat a nutritious diet, and get adequate sleep to maintain your health.</p>
					</div>

					<div class="bmiresults results_over">
						<p>Your BMI qualifies you for medical weight management. To learn more about our non-surgical weight loss programs click continue below to complete enrollment.</p>
                        <p>If the program is covered by insurance, a member of our team will check your benefits.</p>
                        <p>You must be at least 18 years old to participate in any UC Health Weight Loss Center obesity management program.</p>
					</div>

					<div class="bmiresults results_extreme_over">
						<p>Your BMI qualifies you for medical weight management. You may also qualify for metabolic and bariatric surgery if you have type 2 diabetes (T2D) or other obesity related health condition. Most insurance policies, do not cover bariatric surgery if BMI is less than 35 but we offer self-pay bundle pricing at West Chester Hospital.</p>
                        <p>To learn more click continue below to complete enrollment and request insurance benefit check.</p>
                        <p>You must be at least 18 years old to participate in any UC Health Weight Loss Center obesity management program.</p>
					</div>

					<div class="bmiresults results_obese">
						<p>Your BMI qualifies you for medical weight management and bariatric surgery. Insurance coverage may require one or two obesity related conditions.</p>
                        <p>Your individual insurance policy may require one to two obesity related conditions such as sleep apnea, hypertension, or diabetes.</p>
                        <p>To learn more click continue below to complete enrollment and request insurance benefit check.</p>
                        <p>You must be at least 18 years old to participate in any UC Health Weight Loss Center obesity management program.</p>
					</div>

					<div class="bmiresults results_extreme_obese">
						<p>Your BMI qualifies you for medical weight management and bariatric surgery.</p>
                        <p>Your individual insurance policy may require one to two obesity related conditions such as sleepapnea, hypertension, or diabetes.</p>
                        <p>To learn more click continue below to complete enrollment and request insurance benefit check.</p>
                        <p>You must be at least 18 years old to participate in any UC Health Weight Loss Center obesity management program.</p>
					</div>

					<div id="resetImperial">
						<a onclick="bmi_reset();" href="javascript:">Reset</a>
					</div>

				</div>

				<div id="bmisubmit" class="col-sm-10 col-sm-offset-2">
					<button type="button" onclick="bmi_calculate();" class="btn btn-uchred button">Calculate BMI</button>
				</div>


			</div> <a href="javascript:" class="btn btn-uchred btn-continue" data-parent="wlcStep1" data-next="wlcStep2">Continue</a> </div>
            </div>
        </div>

        <div class="well well-lg" id="wlcStep2">
        	<h2>Step 2: Registration/Insurance Benefit Check</h2>
                        <div class="row">
            	<div class="col-md-10 col-md-offset-1">
	            <form id="bariatric_register_form" action="#" enctype="multipart/form-data" class="form-horizontal" method="post">

                    <div class="form-group">
                            <label class="col-sm-2 control-label">Name: <span class="required">*</span></label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbName" id="tbName" maxlength="250" value="" size="30" class="form-control required" required="required" placeholder="Name" /></div>
                    </div>

                        <div class="form-group">
                            <label class="col-sm-2 control-label">Phone Number: <span class="required">*</span></label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbPhone" id="tbPhone" maxlength="250" value="" size="30" class="required form-control" required="required" placeholder="Phone Number" /></div>
                        </div>

						<div class="form-group">
                            <label class="col-sm-2 control-label">Address: <span class="required">*</span></label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbStreet" id="tbStreet" maxlength="250" value="" size="30" required="required" /></div>
						</div>

						<div class="form-group">
                            <label class="col-sm-2 control-label">City: <span class="required">*</span></label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbCity" id="tbCity"  maxlength="30" value="" size="15" required="required" /></div>
						</div>

						<div class="form-group">
							<label class="col-sm-2 control-label">State:<span class="required">*</span></label>
							<div class="col-sm-10"><select name="tbState" id="tbState" required="required" class="form-control">
								<option value="AL">Alabama</option>
								<option value="AK">Alaska</option>
								<option value="AZ">Arizona</option>
								<option value="AR">Arkansas</option>
								<option value="CA">California</option>
								<option value="CO">Colorado</option>
								<option value="CT">Connecticut</option>
								<option value="DE">Delaware</option>
								<option value="DC">District of Columbia</option>
								<option value="FL">Florida</option>
								<option value="GA">Georgia</option>
								<option value="HI">Hawaii</option>
								<option value="ID">Idaho</option>
								<option value="IL">Illinois</option>
								<option value="IN">Indiana</option>
								<option value="IA">Iowa</option>
								<option value="KS">Kansas</option>
								<option value="KY">Kentucky</option>
								<option value="LA">Louisiana</option>
								<option value="ME">Maine</option>
								<option value="MD">Maryland</option>
								<option value="MA">Massachusetts</option>
								<option value="MI">Michigan</option>
								<option value="MN">Minnesota</option>
								<option value="MS">Mississippi</option>
								<option value="MO">Missouri</option>
								<option value="MT">Montana</option>
								<option value="NE">Nebraska</option>
								<option value="NV">Nevada</option>
								<option value="NH">New Hampshire</option>
								<option value="NJ">New Jersey</option>
								<option value="NM">New Mexico</option>
								<option value="NY">New York</option>
								<option value="NC">North Carolina</option>
								<option value="ND">North Dakota</option>
								<option selected value="OH">Ohio</option>
								<option value="OK">Oklahoma</option>
								<option value="OR">Oregon</option>
								<option value="PA">Pennsylvania</option>
								<option value="RI">Rhode Island</option>
								<option value="SC">South Carolina</option>
								<option value="SD">South Dakota</option>
								<option value="TN">Tennessee</option>
								<option value="TX">Texas</option>
								<option value="UT">Utah</option>
								<option value="VT">Vermont</option>
								<option value="VA">Virginia</option>
								<option value="WA">Washington</option>
								<option value="WV">West Virginia</option>
								<option value="WI">Wisconsin</option>
								<option value="WY">Wyoming</option>
							</select></div>
						</div>

						<div class="form-group">
							<label class="col-sm-2 control-label">Zip: <span class="required">*</span></label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbZip" id="tbZip" maxlength="100" value="" size="15"  class="required" required="required" /></div>
                        </div>

						<div class="form-group">
                            <label class="col-sm-2 control-label">Email Address: <span class="required">*</span></label>
							<div class="col-sm-10"><input class="text form-control" type="email" name="tbEmail" id="tbEmail" maxlength="250" value="" size="30" class="required" required="required" /></div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-2 control-label">Date of Birth:</label>
							<div class="col-sm-10"><input class="text form-control" type="text" name="tbDOB" id="tbDOB" maxlength="250" value="" size="30" class="text" placeholder="MM/DD/YYYY"/></div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-2 control-label">Do you require a language interpreter?</label>
                            <div class="col-sm-10">
                                <input class="radio" type="radio" name="tbLangInter" id="tbLangInterYes"  value="Yes">Yes</input><input class="radio" type="radio" name="tbLangInter" id="tbLangInterNo"  value="No">No</input>
                            </div>
                        </div><div id="yesLanguage"  style="display: none;" class="form-group" ><label class="col-sm-2 control-label">Language</label>
                            <div class="col-sm-10">
                                <input type="text" class="text form-control" name="tbYesLanguage" id="tbYesLanguage" maxlength="250" value="" size="30" class="form-control" placeholder="Language" />
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-2 control-label">How did you hear about us?<span class="required">*</span></label>
                            <div class="col-sm-10"><select name="tbHowHear" id="tbHowHear" required="required" class="form-control">
                                <option value="">- select below - </option>
								<option value="Billboard">Billboard</option>
								<option value="Flyer Brochure">Flyer/Brochure</option>
                                <option value="Friend Family">Friend/Family (enter name below)</option>
								<option value="Insurance Provider">Insurance Provider</option>
                                <option value="Internet">Internet</option>
								<option value="Newspaper Magazine">Newspaper/Magazine</option>
								<option value="ObesityHelp.com">ObesityHelp.com</option>
                                <option value="Other">Other (enter below)</option>
                                <option value="Physician Referral">Physician Referral(enter name below)</option>
								<option value="Postcard">Postcard</option>
								<option value="Social Media">Social Media</option>
                                <option value="TV">TV</option>
                            </select></div>
                        </div>  <div id="physicianAndOthers"   style="display: none;"  class="form-group"  >
                            <label class="col-sm-2 control-label">Physician Name or Other:</label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbPhysician" id="tbPhysician" maxlength="250" value="" /></div>
                        </div> <div id="typeOfObesityCare"  style="display: none;"  class="form-group" >
                                <label class="col-sm-2 control-label">What type of obesity care are you interested in?<span class="required">*</span></label>
                                <div class="col-sm-10"><select name="tbTypeOfObesityCare" id="tbTypeOfObesityCare" class="form-control">
                                    <option value="">- select below - </option>
                                    <option value="Non surgical weight management">Non surgical weight management</option>
                                    <option value="Weight Loss Surgery">Weight Loss Surgery</option>
                                    <option value="Unsure">Unsure</option>
                                </select></div>
                            </div><div class="form-group">
                            <label class="col-sm-2 control-label">Insurance:</label>
                            <div class="col-sm-10">
                                <select name="tbInsurance" id="tbInsurance" class="form-control">
                                    <option value="">- select below - </option>
                                    <option value="Aetna">Aetna</option>
                                    <option value="CareSource">CareSource</option>
                                    <option value="Cigna">Cigna</option>
                                    <option value="Elevance Health/Anthem">Elevance Health/Anthem</option>
                                    <option value="Kaiser Permanente">Kaiser Permanente</option>
                                    <option value="United Health">United Health</option>
                                    <option value="UMR">UMR</option>
                                    <option value="Other">Other</option>
                                </select>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-2 control-label">Health Plan Types:</label>
                            <div class="col-sm-10">
                                <select name="tbHealthPlanTypes" id="tbHealthPlanTypes" class="form-control">
                                    <option value="">- select below - </option>
                                    <option value="EPO">EPO</option>
                                    <option value="High-Deductible Plan">High-Deductible Plan</option>
                                    <option value="HMO">HMO</option>
                                    <option value="Medicaid">Medicaid</option>
                                    <option value="Medicare">Medicare</option>
                                    <option value="PoS">PoS</option>
                                    <option value="PPO">PPO</option>
                                    <option value="Other">Other</option>
                                </select>
                            </div>
                        </div>
						<div class="form-group">
                            <label class="col-sm-2 control-label">Employer:</label>
							<div class="col-sm-10"><input type="text" class="text form-control" name="tbEmployer" id="tbEmployer" maxlength="250" value="" /></div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-2 control-label">Comments:</label>
							<div class="col-sm-10"><textarea class="text form-control" name="tbComments" id="tbComments" cols="45" rows="8"></textarea></div>
                        </div> <div id="bariatricSurgery"  style="display: none;" class="form-group" > <label class="col-sm-2 control-label">Have you had previous bariatric surgery?</label>
                            <div class="col-sm-10">
                                <input class="radio" type="radio" name="tbBariatricSurgery" id="tbBariatricSurgeryYes"  value="Yes">Yes</input><input class="radio" type="radio" name="tbBariatricSurgery" id="tbBariatricSurgeryNo"  value="No">No</input>
                            </div>
                        </div><div id="yesBariatricSurgery"  style="display: none;"  class="form-group" >
                            <label class="col-sm-2 control-label">If yes - what procedure?</label>
                            <div class="col-sm-10">
                                <select name="tbBariatricSurgeryYes" id="bariatricSurgeryYes"  class="form-control">
                                    <option value="">- select below - </option>
								    <option value="BPD/DS" >BPD/DS</option>
					                <option value="Gastric band/Lapband/Magazine">Gastric band/Lapband/Magazine</option>
								    <option value="Gastric Bypass">Gastric Bypass</option>
								    <option value="Sleeve Gastrectomy">Sleeve Gastrectomy</option>
                                    <option value="SADI-S/Loop DS">SADI-S/Loop DS</option>
                                    <option value="Other">Other</option>
                                </select>
                            </div>
                        </div> <div id="bariatricSurgeryYesOthers"   style="display: none;"  class="form-group"  >
                                <label class="col-sm-2 control-label">Other:</label>
                                <div class="col-sm-10"><input type="text" class="text form-control" name="tbBariatricSurgeryYesOthers" id="tbBariatricSurgeryYesOthers" maxlength="250" value="" /></div>
                            </div> <div id="yesBariatricSurgeryTwo"  style="display: none;"  class="form-group" >
                            <label class="col-sm-2 control-label">If yes - Why are you interested in a surgical revision?</label>
                            <div class="col-sm-10">
                                <select name="tbBariatricSurgeryYesTwo" class="form-control">
                                    <option value="">- select below - </option>
                                    <option value="Complication such as GERD" >Complication such as GERD</option>
                                    <option value="Weight loss">Weight loss</option>
                                    <option value="Both">Both</option>
                                </select>
                            </div>
                        </div><div id="haveType2Diabetes"  style="display: none;"  class="form-group" >
                            <label class="col-sm-2 control-label">Do you have T2D or other obesity related health conditions?</label>
                            <div class="col-sm-10">
                                <select name="tbHaveType2Diabetes" id="tbHaveType2Diabetes" class="form-control">
                                    <option value="">- select below - </option>
								    <option value="Yes">Yes</option>
					                <option value="No">No</option>
								    <option value="Other">Other</option>
                                </select>
                            </div>
                        </div> <div id="haveType2DiabetesOthers"   style="display: none;"  class="form-group"  >
                                <label class="col-sm-2 control-label">Other:</label>
                                <div class="col-sm-10"><input type="text" class="text form-control" name="tbHaveType2DiabetesOthers" id="tbHaveType2DiabetesOthers" maxlength="250" value="" /></div>
                            </div> <div id="smokeNicotineProducts"  style="display: none;"  class="form-group" >
                            <label class="col-sm-2 control-label">Do you smoke or use other nicotine products?</label>
                            <div class="col-sm-10">
                                <input class="radio" type="radio" name="tbSmokeNicotineProducts" id="tbSmokeNicotineProductsYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbSmokeNicotineProducts" id="tbSmokeNicotineProductsNo" value="No" >No</input>
                            </div>
                        </div> <div id="organTransplantEvaluation"  style="display: none;"  class="form-group" >
                            <label class="col-sm-2 control-label">Have you had an organ transplant or waiting for evaluation?</label>
                            <div class="col-sm-10">
                                <input class="radio" type="radio" name="tbOrganTransplantEvaluation" id="tbOrganTransplantEvaluationYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbOrganTransplantEvaluation" id="tbOrganTransplantEvaluationNo" value="No" >No</input>
                            </div>
                        </div>  <div id="obesityRelatedConditions"  style="display: none;"  class="form-group">
                            <div class="col-sm-10">
                                <label class="control-label">Have you been diagnosed with any of the following obesity related conditions? </label>
                            </div>
                        </div><div id="type2Diabetes" class="form-group"  style="display: none;" >
                        <label class="col-sm-2 control-label">Type 2 Diabetes?</label>
                        <div class="col-sm-10">
                            <input class="radio" type="radio" name="tbType2Diabetes" id="tbType2DiabetesYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbType2Diabetes" id="tbType2DiabetesNo" value="No" >No</input>
                            </div>
                        </div><div id="hypertension"  style="display: none;"  class="form-group">
                        <label class="col-sm-2 control-label">Hypertension (high blood-pressure) requiring medication?</label>
                        <div class="col-sm-10">
                            <input class="radio" type="radio" name="tbHypertension" id="tbHypertensionYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbHypertension" id="tbHypertensionNo" value="No" >No</input>
                            </div>
                        </div><div id="sleepApnea"  style="display: none;"  class="form-group">
                        <label class="col-sm-2 control-label">Obstructive Sleep Apnea?</label>
                        <div class="col-sm-10">
                            <input class="radio" type="radio" name="tbSleepApnea" id="tbSleepApneaYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbSleepApnea" id="tbSleepApneaNo" value="No" >No</input>
                            </div>
                        </div><div id="needingSurgery"  style="display: none;"  class="form-group">
                        <label class="col-sm-2 control-label">Osteoarthritis in a weight bearing joint needing surgery</label>
                        <div class="col-sm-10">
                            <input class="radio" type="radio" name="tbNeedingSurgery" id="tbNeedingSurgeryYes" value="Yes" >Yes</input><input class="radio" type="radio" name="tbNeedingSurgery" id="tbNeedingSurgeryNo" value="No" >No</input>
                            </div>
                        </div><div class="form-group">
							<label class="col-sm-2 control-label"></label>
							<div class="col-sm-10"><div id="recaptcha-wrapper"><div class="g-recaptcha" data-sitekey="6Lc8Tw8TAAAAAN_CANd6HYghBEYjnonpkb9o72kS"></div></div></div>
						</div><div class="form-group">
							<div class="col-sm-10 col-sm-offset-2">
								<input type="submit" name="submit" value="Send Registration Information" class="btn btn-uchred" />
								<input type="hidden" name="ucpbariatricregister" id="ucpbariatricregister" value="true" />
                                <input type="hidden" name="status" id="status" value="" />
							</div>
						</div>

                    </fieldset>
                </form>                </div>
			</div>
        </div>

        <div class="well well-lg" id="wlcStep3">
        	<h2>Step 3: Final Steps to Begin Your Journey</h2>
            <p>After reviewing your registration information, a representative from the weight loss center will contact you about enrollment and next steps.</p>
<p>Thank you for your interest in the UC Health Weight Loss Center. We provide comprehensive obesity care to help our patients achieve their individual weight loss goals, improving overall health and quality of life.</p>
<p>We are excited to be on this journey with you and will help you at every step.<br />
If you have any questions, please call our team at 513-939-2263.</p>
            <!-- Hiding moving to Step4 as Step3 is the last step in the process -->
            <!--<div><a href="javascript:" class="btn btn-uchred btn-continue" data-next="" data-parent="wlcStep3">Continue</a></div>-->
        </div>

        <!-- Hiding Step4 as Step3 is the last step in the process -->
        <!--<div class="well well-lg" id="wlcStep4_nonsurgical">
        	<h2>Step 4: Thank you</h2>
			        </div>-->

        <!-- Hiding Step4 as Step3 is the last step in the process -->
        <!--<div class="well well-lg" id="wlcStep4_surgical">
        	<h2>Step 4: Final Steps to Begin Your Journey</h2>
			        </div>-->

        </div>
    </div>
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