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