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Free Overweight Questionnaire

Thank you for taking the time to review the informational materials we have created at Tate Healthcare Specialists. We hope you find them helpful.

In this section, you will find our Intake Questionnaire, which we use at our office. Each patient completes this form at the first visit. If you will complete the questionnaire, I'll review it personally and send you a response by e-mail.

Please be sure to include your name, address, telephone number, and e-mail address (if you have one) at the beginning of the form. Then submit the completed form when you are finished.

Thank you for your interest. Please click the button at left to begin the form.

 

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