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Z-Weight Loss

Patient Forms

HCG Diet, HCG weight Loss, HCG Releana Z-Weight Loss Center Arizona Provider

Come out of your shell......Become Healthy......Start Living Life!

FDA approved for the treatment of weight control or obesity. Using HCG in dieting is considered
an "off-label" use. Medications are frequently used "off-label" to treat conditions that are unrelated
to their original indications, safely and effectively. Based on our experience and that of other
physicians who have been using HCG for more than 20 years, as an adjunct to a restricted calorie
diet – we find it is completely safe and produces great results.

Patient Medical Form Page 1

Patient Medical Form Page 2

Congratulations!
You have made a great decision to lose those
extra pounds, you are on your way to feeling great!

Here is what you can do:

Contact us Today! (480) 570-9200
28230 N. Tatum Blvd.,Suite C-4
Cave Creek, Arizona 85331

Call Z-Weight Loss and set up your appointment

Click on each form above (there are two) and fill them out so you
can bring them to your appointment (that will save you time)

Become the person you want to be...
Join us in this journey - It's never been so easy!

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