Weight Loss Intake Forms | Maximum Health Center

IMPORTANT NOTE

Please take some time to fill out our weight loss intake forms online. If you are unable to fill out online, please download files and bring them with you to your first appointment. You can also email the completed forms to office@maximumhealthcenter.com

New Patient Weight Loss Intake Forms
Fill Out Online

Quality of Life Survey
Download & Print

Trust Your Gut Questionnaire
Download & Print

Contour Light Treatment Consent Form
Download & Print

Testimonials

Between the expertise in skeleto-muscular working and potential maladies of the body, Dr MJ has an arsenal if high tech equipment to narrow the... read more

Wayde N.

I would recommend this place to anyone Mourad was the best. I was in pain for months and just a few appointment he really helped. The whole staff is... read more

Lisa R.

The entire staff was friendly and informative. I got amazing results my first time there and I want Maximum Health Center to know that the red light... read more

Kim W.

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