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Monday to Friday 9:00am to 5:00pm
800-345-678.

Forms

Please download and complete the appropriate forms before coming for doctor visit:

Weight Loss:

Patient Information Form
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Patient Informed Consent Form
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Patient Medical History Form
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Pregnancy Form
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Weight Loss Consumer Bill of Rights Form
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Weight Loss Program Consent Form
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Immigration:

Form I-693
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Addiction Resources:

Substance Abuse and Mental Health Services Administration (SAMHSA)
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