Today was my last dietician's appointment. I asked him at the end of the appointment if I needed anything else done (I've been looking through the forum and everyone mentions some sort of clearance) and he said no. That they are sending my paperwork in today for approval. Well I'm excited about that but I'm worried if there's no actual clearance to make sure that doing surgery on me will be safe.

Maybe they require it after I get approved? IDK. Help? lol

You should have labs and such pre-op. If you're running through insurance, they typically will not schedule any of your pre-op stuff until you're approved. Usually the only things that happen before approval are the things required for approval (e.g. the info/nutrition class, psych eval, etc.)