Tele-Doc Weight Loss Intake Forms

Please click on the links below to begin your journey. You must complete all forms and required fields in order to take the first step. If you should have any questions you can contact us at solutioncenter@teledocweightloss.com or call us at 540-299-5199.

Patient Information Form

Patient Medical History Form

Remote Patient Monitoring Services Form

Obesity Program Consent Form

Consent For Use of Anti-Obesity Medications