Patient Forms | Metabolic Center for Wellness

PATIENT FORMS

For the convenience of our new patients, the paperwork needed for your first visit can be found below. You have two options for completion:

TYPE
YOUR RESPONSES

Click the link(s) below and open the form(s) in Acrobat. Chose File>Save As... to save the form(s) to your hard drive before completing, otherwise your typed responses will not be saved. Be sure to print all completed forms and bring them to your appointment.

WRITE

YOUR RESPONSES

Click the link(s) below. When the PDF opens, click the print icon in the upper right-hand corner. The Print Dialog box opens. Under Destination, choose your printer and then click the print button at the bottom of the dialog box. Fill in your answers and be sure to bring your completed forms to your appointment.

Download ALL New Patient Forms at Once

All New Patient Forms

OR Download Individual Forms

Personal Information

Welcome Letter

Personal History

Consent for Evaluation or Treatment

Acknowledgment of Receipt of Privacy Practices

Notice of Privacy Practices

Food diary

The Metabolic Center for Wellness charges all patients an annual fee of $195, allowing us to spend more time with patients during visits.

Please feel free to call our office if you have any questions.