Congratulations!
Welcome to Your New Future!
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 a PDF Reader, print out and then fill in the new patient information form:
Bring the above form 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 Medical Weight Loss Center. You will love the new you!
Follow-Up Patient Forms
New! Save time your next visit and print out the one page follow-up sheet — fill out before each follow up visit and bring in to the office.
Food Diary
Motivation is an important ingredient
Remember the reasons you want to lose weight. You can always update your list and bring in on a future visit. Keep a copy for yourself where you’ll most likely read it again when you need it most.
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.
| 1. | 5. | 9. |
| 2. | 6. | 10. |
| 3. | 7. | 11. |
| 4. | 8. | 12. |
More information about personal Weight Loss Motivation
Read what others have said about successful weight loss with our help.
Free Online Patient Tools
Please feel free to use our free online patient tools available to you right here on WeightLossNYC.com, including our online calorie calculator and nutritional info database, obesity risk calculator, and BlackBerry® “Weight Loss Assistant” app — all free.
Office Contact Information
Address: New York Medical Weight Loss Center, 7032 4th Avenue,
Brooklyn NY 11209
Phone: 718-491-5525
Call Now to Schedule Appointment
Mention our website for a FREE WEIGHT LOSS CONSULTATION.


