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  • Find a Provider
  • Insurance
  • About
    • Leadership
    • News
    • Contact
  • Resources
    • Patient Forms
    • Bill Pay
    • Patient Portal
    • Healthe-Chatter Newsletter
  • Careers
    • Physicians APRN and PAS
    • Job Postings

Medical Weight Loss Forms

Patient Registration Forms

Please print and complete forms 1-4. Additional paperwork may need to be completed at the office.

  1. Health History Questionnaire
  2. General Insurance Information Form
  3. Psychological Agreement
  4. Smoking Cessation Agreement (Only required for Bariatric procedures)

Patient Portal

A password-protected Web portal that gives you 24-hour access to certain personal health information from your FPG medical record. For urgent requests, phone your doctor’s office.

 

Call 911 for emergencies

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