I have kaiser inland empire. . Your pcp will give you a referral to the health education department. . From there you'll do an orientation telling you about all your options and requirements you can choose from and have to meet. If you meet the requirements you make an appt with another doctor and then if they think you should have the surgery they will refer you to the 12 week options class to start your journey.. hopefully this helps. I just finished my 12 weeks at the beginning of January and I'm 3 appts aways from meeting with the surg.