The surgeon that I am seeing is a similar to being a "process" to help you through getting everything submitted. My thoughts are that it's to expedite the process. So here's what happened w/ me to get all paperwork in : first attend a seminar to learn abt the process and surgery options, then if all pans out you make an appt to meet w the surgeon, psych eval, exercise specialist, and nutritionist, in between or after that meeting I was given a packet of what was needed from me for the insurance coordinator to have in order to submit everything. That included a physical in the last 6 months, blood/lab work, any documentation that i had tried to lose weight and had been unsuccessful and medical records for the last two years showing a trend of high weight (the have me forms to give to all my docs for a release to have the records sent to them). Once complete it gets submitted
Hope that helps. Good luck!