I called and got all the paper work about what was needed before I even attended the first seminar. My BMI is 39, I have sleep somewhere and can't use the clap because I'm severely clostraphobic, high bp and fibromyalgia. I've done everything by the numbers so hopefully there will be no issues with approval. Thanks for sharing how your approvals went. I can't imagine that with both my family doctor and my surgeon filing the appropriate paperwork that I will have ant problems