Patient Information

 

Online Patient Forms

Options Medical Weight Loss offers all client forms online so they can be completed in the convenience of your home or office.

Options New Patient Paperwork

If you do not already have AdobeReader® installed on your computer, Click Here to download.
Download the necessary form(s), print it and fill in the required information.

Please scan and fax to the location that you will be visiting:

Chandler, AZ Location Fax: 480-681-0263
Glenview, IL Location Fax: 847-584-2920
Orland Park, IL Location Fax: 708-406-7257
South Loop, IL Location Fax: 312-971-4414

Or you can bring it with you to your appointment.

Payments Accepted