Request An Appointment

Medical Weight Loss Center of Lancaster

Choose a Location

Medical Weight Loss Center of Lancaster

2920 Marietta Avenue, Lancaster, PA 17601

Choose a Provider

First Available

Stephen Gold, DO

Heather Coyne, PA-C

Cole Pizzingrilli, PA-C

Brandi Zimmerman, CRNP, FP

Hannah Escamilla, CRNP

Patient Details

Patient First Name

Patient Last Name

Phone

Date of Birth

Insurance Carrier

Reason For Request

Additional Details

Preferred Days of the Week

Please select at least one day

Any Time

Morning

Mid Morning

Afternoon

Late Afternoon

Evening

No Urgency

Same Day

Within 48 hours

This week

I'm flexible

We will be happy to bill your insurance. Although most insurances cover weight management, it is suggested you verify your individual coverage with your insurance company. We also accept self pay patients. For these patients, all services must be paid at time of appointment. Unfortunately, we are not accepting any new patients with state insurance.

I confirm I do not have state insurance

Select Referral Source

Search(Google, Bing, etc)

Social Media

Referral

Word of Mouth

Friends / Family

Online Advertisement

Television

Radio

Other

I accept the Privacy Policy and Terms of Use.

I would like to receive text communications from Medical Weight Loss Center of Lancaster via Treatspace, such as appointment confirmations, appointment reminders, and feedback requests. Message & Data rates may apply.

Please use this form only if you are a new patient. Existing patients please call to make an appointment 717-898-2356. If you have an emergency, Call 911.

Experiencing Issues With This Form? Contact Support

Request An Appointment

Patient Details

Additional Details

You Appointment Request Has Been Received!

Your Request Summary