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Please find below a list of our necessary forms. To expedite your initial appointment, please print out, carefully read, complete and sign the forms. If you have any questions, please contact us immediately at (352) 243-5673.
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| Weight Loss Consumer Bill of Rights | ||||
| Cautionary Statement Concerning Use of Prescription Appetite Suppresants | ||||
| Patient Acknowledgment of Cautionary Statement | ||||
| Hippa Acknowledgment | ||||
| Health History | ||||
| Notice of Privacy Practices | ||||
| Daily forms | ||||
| Daily Log |
| Doctor's
Weight Control • 1670 E. Hwy. 50, Suite E • Clermont,
FL 34711 (352) 243-LOSE (5673) or (407) 897-LOSE (5673) |