Forms Doctor's Weight Solutions

As a convenience to our patients, DOCTOR'S WEIGHT SOLUTIONS offers the following forms that you can review, print and complete prior to your first appointment. This will save you time in the office, and allow you to complete the forms more thoroughly, when you are in less of a rush. If you are like me, you want to get in and out of the doctor's office as quickly as possible, and get frustrated with completing a lot of paperwork while sitting in a waiting room. You can take your time reviewing them, print and complete, and bring them to your first appointment. If you prefer, you can do the paperwork in the office, and we'll give you the forms when you arrive.

PDF forms require Adobe Reader. Download now for free!

Patient Information Form

Medical History Form

Cautionary Statement Concerning Use of Appetite Suppressants

Patient Acknowledgment of Cautionary Statement

Informed Consent for Weight Management Program

12 Reasons - Why I Want to Reach My Goal Weight

Food Diary Form (Microsoft Word Document)