Inova WeightNET Registration

Please read the waiver below and then click on the 'Register Now' button to register for Inova WeightNET.

If you are a spouse of an employee, please complete the first part of the registration with information about yourself.
Include the information about your spouse toward the bottom of the application. If both the employee and spouse are
registering, please complete a separate registration form for both.

If you need more information and would like to be contacted by a WeightNET Coach, please click here.

If you have any difficulty registering for Inova WeightNET, please email us at WeightNET@inova.com and a
WeightNET Coach will contact you to complete your registration.

Waiver and Release Agreement

1.        I understand that the information provided to me through Inova HealthNET (of which Inova WeightNET is a member
program) is for informational and educational purposes only, and it is neither intended nor implied to be a substitute for
professional medical advice. I understand that I should seek the advice of my physician with any questions I may have
regarding any personal medical condition. I assume any and all risks associated with participating in Inova HealthNET with or
without prior consultation with my physician.

2.        I understand that I may discontinue participation in Inova HealthNET at any time.

3.        All information related to my participation in Inova HealthNET will be treated in a strictly confidential and private manner
at all times. Data from all program participants are reviewed, evaluated and reported in order to monitor and improve program
effectiveness. I understand that reports will be constructed so that all individuals will be protected from any identification or
disclosure.

4.        I understand that Inova Health System, by making Inova HealthNET available, is not undertaking any responsibility
regarding my medical condition(s). If my medical condition should change or require medical attention, I will immediately
consult with my physician.

5.        I hereby release and hold harmless Inova Health Systems, their respective directors, trustees, officers, parents,
subsidiaries, affiliates, employees and agents from and against any and all demands, damages, losses, costs, expenses,
obligations, liabilities, claims, actions, and causes of action (whether any of which is groundless or otherwise) of any nature
whatsoever (including, without limitations, reasonable attorney’s fees and court costs) by reason of or resulting, in any way,
from any and all acts, accidents, events, occurrences, omissions and the like related to, or arising out of , directly or indirectly,
my participation in Inova HealthNET.

6.        Should a provision of this agreement or portion thereof be found invalid or void as against public policy by any court of
competent jurisdiction, the remainder of this agreement shall nonetheless remain in full force and effect.

7.        By checking the box on the registration form, I am acknowledging that I understand and accept the terms of this
agreement.

Confirmation of acceptance of the Waiver and Release Form, whether via signature or through online registration is required
in order to participate in Inova HealthNET.

Register
Now