CNC New Patient Information Forms
Thank you for taking the time to visit CNC's forms page. There are 2 forms that will
be important. The first is the New Patient Handout. This contains information
about how our clinic works, the various eating plans, program fees, and general
office information. The second important file is the New Patient Medical and Diet
History. Please fill this out completely prior to your blood test to allow us time to
review the information prior to your initial office visit.
Please make sure to download both forms and review them prior to your first visit!
If you are unable to download either form, please call the office at 303-750-9454.
We will gladly mail or fax them to you.
New Patient Handout
This handout contains information for new patients about our
programs and general office information. Please review this
carefully before your first office visit! (This is an Adobe PDF file - if you
don't have the free viewer, click here to download)
New Patient Medical and Diet History To provide you with the best
possible care, we have developed a health screening and
weight-control questionnaire. We use this information to identify health
problems, and to identify problem areas in your past weight-control
efforts.
This form will take approximately 15 minutes to fill out. Please work on
this when you have this amount of time. Do not rush! The information
is very important to help us provide you with the highest quality of care.
You will first be asked to submit your e-mail address to subscribe to
our free newsletter called HealthStyles, written by Dr. Lazarus and the
staff at CNC, bringing you updates in the fields of health, medicine,
and nutrition. The health history will follow. If for any reason you have
difficulty linking to the health history, click here.
We strongly encourage you to use the above form, as it will decrease
errors in transcription and greatly reduce the work of CNC having to
re-enter your data. However, if you hate typing (or can't type) click
here to download an Adobe PDF version of the file.
When done:
1) please print out a copy to bring in to your visit
2) press the <SUBMIT> button at the bottom of the screen to
submit your data to us.
Please ALSO bring in a print out of your information - just in case there is a
transmission error, this will eliminate the possibility of having to do the
paperwork again. Thank you!
be important. The first is the New Patient Handout. This contains information
about how our clinic works, the various eating plans, program fees, and general
office information. The second important file is the New Patient Medical and Diet
History. Please fill this out completely prior to your blood test to allow us time to
review the information prior to your initial office visit.
Please make sure to download both forms and review them prior to your first visit!
If you are unable to download either form, please call the office at 303-750-9454.
We will gladly mail or fax them to you.
New Patient Handout
This handout contains information for new patients about our
programs and general office information. Please review this
carefully before your first office visit! (This is an Adobe PDF file - if you
don't have the free viewer, click here to download)
New Patient Medical and Diet History To provide you with the best
possible care, we have developed a health screening and
weight-control questionnaire. We use this information to identify health
problems, and to identify problem areas in your past weight-control
efforts.
This form will take approximately 15 minutes to fill out. Please work on
this when you have this amount of time. Do not rush! The information
is very important to help us provide you with the highest quality of care.
You will first be asked to submit your e-mail address to subscribe to
our free newsletter called HealthStyles, written by Dr. Lazarus and the
staff at CNC, bringing you updates in the fields of health, medicine,
and nutrition. The health history will follow. If for any reason you have
difficulty linking to the health history, click here.
We strongly encourage you to use the above form, as it will decrease
errors in transcription and greatly reduce the work of CNC having to
re-enter your data. However, if you hate typing (or can't type) click
here to download an Adobe PDF version of the file.
When done:
1) please print out a copy to bring in to your visit
2) press the <SUBMIT> button at the bottom of the screen to
submit your data to us.
Please ALSO bring in a print out of your information - just in case there is a
transmission error, this will eliminate the possibility of having to do the
paperwork again. Thank you!
Office Forms
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |