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New Patient Forms

Galveston Weight Loss offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

 
New Patient Forms - Click Here to Download

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NEW PATIENT SPECIAL OFFER

New Patients
Receive a Free Consultation!
Fill out the form below and a member of our team will contact your shortly.
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DISCLAIMER

Weight loss results discussed on this website are not typical. Our clinic makes no guarantee that clients will lose weight. As with all weight loss programs, results are variable based on patient genetic make-up, patient compliance, and other factors such as time and effort.

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Galveston Weight Loss
2724 61st Street Suite 5
Galveston, TX 77551
(409) 740-7169
Weight Loss Service

OFFICE HOURS
Mon. 8:30am - 5:00pm
Tue. 8:30am - 5:00pm
Wed. 8:30am - 5:00pm
Thu. 8:30am - 5:00pm
Fri. 8:30am - 12:00pm
Sat. Closed