GENESIS - WEIGHT LOSS AND WELLNESS CENTERS
 
FORMS:  To save time during your appointment, please complete and print forms, and bring them with you to your appointment. 
 
 
 
NEW PATIENT FORMS:
 
Please complete the following forms and bring them with you to your first appointment.
 
 
 
 
 
 
 
 
CURRENT PATIENT FORMS:
 
Please complete the following forms and bring them with you to your Restart/Renewal Visit.
 
 
 
 
 
 
 
PRIVACY INFORMATION:
 
 
 
 
 
 
 
(352) 597-9142
 
 
 
 
 
 
 
 
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Affiliated with Dr. Jay J. Garcia