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Patient Forms Page 1. Patient Forms Page 2. Patient Forms Page 3. Patient Froms Page 4. Complete Weight Loss has seen over 3500 patients in the last 4 years and the patients have lost 1000's of pounds. We love to help you feel good about yourself and appearance, So thank you for being a part of what works! WHAT DO YOU HAVE TO LOSE? We accept Visa, MasterCard, Discover, Debit Cards, and Cash. Sorry absolutely no "checks"! We strive to offer the best Weight Loss System on the Market! Pelham, Alabama 35124.

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CONTACTS AT COMPLETEWEIGHTLOSSANDHEALTHCARE.COM

Complete Weight Loss and Healthcare LLC

Jason Moore

P.O. ●●●●●83064

Bir●●●ham , Alabama, 35238

United States

1.20●●●●2090
1.20●●●●1442
ja●●●●●●●●●●●●@aol.com

View this contact

Complete Weight Loss and Healthcare LLC

Jason Moore

P.O. ●●●●●83064

Bir●●●ham , Alabama, 35238

United States

1.20●●●●2090
1.20●●●●1442
ja●●●●●●●●●●●●@aol.com

View this contact

Complete Weight Loss and Healthcare LLC

Jason Moore

P.O. ●●●●●83064

Bir●●●ham , Alabama, 35238

United States

1.20●●●●2090
1.20●●●●1442
ja●●●●●●●●●●●●@aol.com

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Patient Forms Page 1. Patient Forms Page 2. Patient Forms Page 3. Patient Froms Page 4. Complete Weight Loss has seen over 3500 patients in the last 4 years and the patients have lost 1000's of pounds. We love to help you feel good about yourself and appearance, So thank you for being a part of what works! WHAT DO YOU HAVE TO LOSE? We accept Visa, MasterCard, Discover, Debit Cards, and Cash. Sorry absolutely no checks! We strive to offer the best Weight Loss System on the Market! Pelham, Alabama 35124.
<META>
KEYWORDS
1 about us
2 services
3 jason moore ceo
4 weight control service
5 general healthcare
6 annual physicals
7 testosterone injections
8 new patients
9 appointment request
10 healthcare llc
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about us,services,jason moore ceo,weight control service,general healthcare,annual physicals,testosterone injections,new patients,appointment request,healthcare llc,phone,office hours,monday closed,saturday closed,sunday closed,testimonials,clinic news
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Home | completeweightlossandhealthcare.com Reviews

https://completeweightlossandhealthcare.com

Patient Forms Page 1. Patient Forms Page 2. Patient Forms Page 3. Patient Froms Page 4. Complete Weight Loss has seen over 3500 patients in the last 4 years and the patients have lost 1000's of pounds. We love to help you feel good about yourself and appearance, So thank you for being a part of what works! WHAT DO YOU HAVE TO LOSE? We accept Visa, MasterCard, Discover, Debit Cards, and Cash. Sorry absolutely no "checks"! We strive to offer the best Weight Loss System on the Market! Pelham, Alabama 35124.

INTERNAL PAGES

completeweightlossandhealthcare.com completeweightlossandhealthcare.com
1

Patient Forms Page 2

http://www.completeweightlossandhealthcare.com/patient-forms-page-2.html

Have you ever taken or used prescription appetite suppressant? If so, what kind? How long has it been since you last took an appetite suppressant? What is your objective in loosing weight? Health, appearance, other). If yes, how often? Please clearly identify by circling each of the following if you have EVER had. A MVP (Mitral Valve Prolapse). B Any type heart murmur. C Hypertension or high blood pressure. F Liver disease (hepatitis etc) or abnormal liver enzyme blood test. I Unprovoked rapid heart beats.

2

Patient Forms

http://www.completeweightlossandhealthcare.com/patient-forms-page-1.html

Mr Ms Mrs. First Name Last Name. Date of Birth / / Sex: M / F S.S. #. Drivers License # Marital Status. How did you hear about us? Emergency Contact Name Phone #. Home # Work # Cell # . Complete Weight Loss and. Patient Forms Page 1. Patient Forms Page 2. Patient Forms Page 3. Patient Froms Page 4.

3

Patient Forms Page 3

http://www.completeweightlossandhealthcare.com/patient-forms-page-3.html

The majority of patients taking stimulant medications for weight loss, never have any problems with the stimulant medication itself, but. Some people do. Therefore, it is important to tell you about what some of those reactions or side-effects could be when considering this. Form of weight loss treatment. Most side-effects are mild and usually improve or go away completely as your body adjust to the medication. Some Reactions of side-effects to stimulants could be:. Often prescribed in weight. Chest disc...

4

About Us

http://www.completeweightlossandhealthcare.com/about-us.html

Complete Weight Loss and Healthcare's mission is to provide personalized, high-quality care on an as-needed or preventative basis. We have created a practice that we believe in and choose for our own family members. Each physician is certified by the American Board of Family Medicine and comes to our practice with years of experience in their area of specialty. To schedule an appointment, please call: (205) 733-1440 or email us at CompleteWeightLoss2232@gmail.com. Complete Weight Loss and.

5

Patient Froms Page 4

http://www.completeweightlossandhealthcare.com/patient-froms-page-4.html

Protected Health Information (PHI). Consent for Use or Disclosure of Protected Health Information (PHI) for Payment and Treatment. By signing below, you here by give consent for Complete Weight Loss and Healthcare, LLC (the Clinic) to. Use or disclose information about you, or another person for whom you give the authority to sign, that. Is protected under federal law, for the sole purposes of treatment and payment. You may refuse to sign. Copy of it by asking the Clinic director for a copy. Complete Wei...

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Patient Forms Page 1. Patient Forms Page 2. Patient Forms Page 3. Patient Froms Page 4. Complete Weight Loss has seen over 3500 patients in the last 4 years and the patients have lost 1000's of pounds. We love to help you feel good about yourself and appearance, So thank you for being a part of what works! WHAT DO YOU HAVE TO LOSE? We accept Visa, MasterCard, Discover, Debit Cards, and Cash. Sorry absolutely no "checks"! We strive to offer the best Weight Loss System on the Market! Pelham, Alabama 35124.

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