Patient Forms

New patients and those who have not received treatment in the past year are required to complete registration forms before their first visit.

Before Your First Visit

✓New patients must complete all registration forms prior to their appointment.

✓If you have not received treatment in the past year, new forms are required.

✓Forms can be downloaded as PDFs and filled out using Adobe Reader.

✓Bring your completed forms to your first appointment to save time.

✓Need help? Call your nearest location and we'll assist you directly.

Download Your Forms

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New Patient Forms

PDF Format

Complete registration forms required for all new patients before your first visit. Download, print, fill out, and bring to your appointment.

⬇ Download PDF

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Medical History Form

PDF Format

Complete your medical history so our physicians can build your personalized plan.

📞 Call to receive this form

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HIPAA Privacy Notice

PDF Format

Our privacy practices and your rights as a patient.

📞 Call to receive this form

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Consent to Treatment

PDF Format

Informed consent form required prior to beginning any treatment program.

📞 Call to receive this form

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Adobe Reader required. To fill out and print PDF forms, download Adobe Reader for free.

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Need Help With Your Forms?

Call your nearest location and our staff will email forms directly to you or answer any questions.

Call (949) 646-0251

Results may vary from person to person. This website does not provide medical advice. These statements have not been evaluated by the Food and Drug Administration. Soboba Medical Weight Loss program is not intended to diagnose, treat, cure or prevent any disease.