Department of Management Services

Submit Application

The Weight Management Pilot Program application period is now closed

  • Complete your Health Risk Assessment (HRA) through your health plan. Contact your health plan to find out how to complete your HRA.
  • Take the Physician Referral Form to your physician and complete the required fields.
  • Complete and submit the online application. The application period will last from Oct. 7, 2019 to Nov. 15, 2019.
  • Applicants will be notified in December, and those who are accepted into the pilot will be enrolled in a department approved wellness program beginning by their health plan beginning in January 2020.

Physician Referral and Supervision Form  (Adobe PDF Document 149.33 KB)