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Weight Loss Consultation Questionnaire

Dr. Horton

Emily Sespaniak, MSN, FNP-C

Danielle Bautista, MSN, ANP

If you are interested in weight loss options with GLP-type medications, please complete the following questionnaire. Your answers will help us best plan your visit and allow us to be prepared to answer your questions, provide education and create a treatment plan, if time permits.