Patient Resources

Patient Forms

Medical Visits

Please print and fill out each of the forms below in preparation for your appointment with Dr. Scheiner.

Patient Registration
HIPAA Privacy Practice
Consent to be Photographed

Medical Weight Loss

We encourage you to download, print and fill out the patient forms prior to your visit. This will help your appointment proceed smoothly. If you have any questions about the forms, please contact our office.

Patient Information
Medical History
Medical Dispensing
MIC – B12 Injection Consent
Phentermine Consent
Semaglutide / Tirzepatide Consent
No Show Policy