Congratulations!
By scheduling your appointment with us, you have taken the most important first step. If you have a printer, here is the perfect way to save time on your first visit.
Using Adobe Reader, print out and then fill in the following forms:
 12 reasons why I want to lose weight |
 Patient Information |
 Medical History |
Bring the forms with you on your first scheduled appointment. If you do not have a scheduled appointment, please call the clinic and schedule your appointment today. Call for appointment: 718-491-5525
Thank you for choosing New York Weight Loss Center. You will love the new you!
Motivation is an important ingredient
YOUR 12 Reasons
“Why I Want to Reach My Goal Weight”
Name:
Date:
Before writing your reasons down, give them some thought. It is important that these 12 reasons be true personal goals and desires. They should not be generalizations or what you think would please others because they will be used as your “personal motivator.”
Take a few moments from time to time each day to thoughtfully read through this list. This is called mental programming. The original of your 12 reasons list is retained in your medical file. You will be given a copy to carry at all times. We suggest that you also transfer your list onto a 3 x 5 card which may be more convenient.
Make a promise to yourself now: “I will read the entire card whenever I am confronted with a difficult food situation.” Reading the list will clearly reinforce your personal commitment to take control of your health and self-esteem.
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Office Contact Information
Address: 7032 4th Avenue, Brooklyn NY 11209
Phone: 718-491-5525
Call Now to Schedule Appointment
Mention this website for FREE WEIGHT LOSS CONSULTATION.
Medical Weight Loss
Welcome New Patient!
Please Print Out this form and bring with you to your first visit.
Start Losing Weight Today! Call Now 718-491-5525
Weight Loss Center NYC 11209
New York 718-491-5525
