Shopping

Guest
Merchandise Details

For merchandise return policy, click here: https://obesitymedicine.org/about/cancellation-policy/

Obesity Medicine Office Forms
Member Price$75.00
Non-Member Price$95.00
Merchandise Description

These template office forms are designed for use in an obesity medicine practice. They are intended to be samples of what other obesity medicine clinicians use to help you get started in your own practice. The downloadable package contains 11 forms, which are formatted as Microsoft Word documents. You may edit the forms with your own information and logo, but you may not use the Obesity Medicine Association name or logo on any of the documents. After purchase, the office forms will download to your computer as a Zip folder.

 

The forms included are:

 

• “Dear Patient” Letter

• “Dear Provider” Letter

• “Dear Provider” Follow-up Letter

• Patient Information Form

• Obesity Program Consent Form

• Consent for Use of Anti-obesity Control Medications

• Authorization for Disclosure of Health Information

• “Why I Want to Lose Weight”

• “How I Plan to Lose Weight”

• New Patient Medical History Form

• Follow-up for Established Patient

• Physical Activity Prescription

 

 

 

 

©2018 Obesity Medicine Association. All Rights Reserved.

Privacy Policy  Cookie Policy



© 2022 Community Brands Holdings, LLC. All rights reserved.