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123 Street Avenue, City Town, 99999

(123) 555-6789

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Patient Forms

For your convenience, we offer a variety of patient forms for you complete in advance saving you time at our office.  Please download and print the pertinent forms and fill in the required information. Please bring them with you to your appointment.

Thank you!  

Wellness & Weight Loss Program

BHRT-Personal-Health-History

New Patient History & Readiness Assessment

Food Journal

hCG Weight Loss Program

hCG Product Guide-Errors

HCG Protocol for Phase 3 

VLCD Day 1-7 

VLCD Day 8-14

VLCD Day 15-21 

VLCD Day 22-28 

VLCD Day 29-35 

VLCD Day 36-48