Helpful forms and preparation steps for new patients.
These resources help Rochester Medical Weight Loss understand your medical history, weight history, habits, goals, and readiness before beginning a physician-guided plan.
If you are accepted as a patient, our team may ask you to complete the forms below before your appointment. If you have questions about what is required, please call the office.
Not every person seeking medical weight reduction is automatically a fit for every program offered by Rochester Medical Weight Loss. Before being accepted as a patient, you may be asked to participate in a short intake interview to help determine whether our programs are appropriate for your needs.
If accepted, you may be asked to complete forms before your first visit so your care team can better understand your health history and goals.
What to Bring
A simple first-visit preparation list.
Completed forms
Bring any forms the office has asked you to complete before your appointment.
Medication list
Bring a current list of medications, over-the-counter products, vitamins, and supplements.
Questions
Write down any questions about programs, expectations, cost, nutrition support, or medications.
Relevant history
Be ready to share past weight loss attempts, health conditions, routines, barriers, and goals.
Financial Note
Please review payment and insurance information before beginning care.
Rochester Medical Weight Loss is a private pay practice and does not bill insurance directly for program fees. Patients accepted to the practice are responsible for payment for services received.
