Request an Appointment Please complete the form below to request an appointment with Bodyworx. Your Name* First Last Email Address* Phone Number* Insurance*Blue Cross Blue ShieldMedicareUnitedCoventryOtherIf other, please specify Practitioner* Reason for consultation* Diabetes Weight Loss Healthy Living Other If other, please explainType of diabetes* Type I Type II CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Share This: