847-509-7560

New Patient Forms

Please download and complete the HIPAA Policies and New Patient Intake Forms prior to your first visit. All the forms here are in Adobe pdf format. Feel free to contact us with any questions.

acrobat HIPAA Policies

acrobat New Patient Intake Forms

North Shore Center for Weight Management
707 Skokie Blvd., Suite 600
Northbrook, IL 60062
Phone: 847.509.7560
Fax: 847.509.7562
Email: info@nscwm.com

North Shore Center for Weight Management
151 N. Michigan Avenue, Suite 760
Chicago, IL 60601
Phone: 773-307-4501
Email: info@nscwm.com